Individual
BRIAN C CALDERON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CMT, CST-D
Contact information
Practice address
7540 114TH AVE N, CHAMPLIN, MN 55316-2702
(612) 598-1305
Mailing address
7540 114TH AVE N, CHAMPLIN, MN 55316-2702
(612) 598-1305
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
001091-00
MN
Other
Enumeration date
09/20/2006
Last updated
01/31/2025
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