Organization
PHELPS CHIROPRACTIC P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAVERN PHELPS JR. D.C. (CEO)
(218) 365-4044
Entity
Organization
Contact information
Practice address
22 E CHAPMAN ST, ELY, MN 55731-1280
(218) 365-4044
(218) 365-4044
Mailing address
22 E CHAPMAN ST, ELY, MN 55731-1280
(218) 365-4044
(218) 365-4044
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
318
MN
Other
Enumeration date
02/16/2009
Last updated
02/16/2009
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