Organization
R.T.H.W., P.A.
Active
Other names
Rivertown Chiropractic & Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL JOHN LARSEN D.C. (PRESIDENT)
(651) 439-2712
Entity
Organization
Contact information
Practice address
5813 NEAL AVE N, STILLWATER, MN 55082-2177
(651) 439-2712
(651) 439-2663
Mailing address
5813 NEAL AVE N, STILLWATER, MN 55082-2177
(651) 439-2712
(651) 439-2663
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4981
MN
Other
Enumeration date
02/14/2011
Last updated
02/14/2011
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