Organization
NIKOLE CARLSON, DC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NIKOLE CARLSON (OWNER)
(952) 925-4639
Entity
Organization
Contact information
Practice address
6200 EXCELSIOR BLVD, #204, ST LOUIS PARK, MN 55416-2730
(952) 925-4639
(952) 925-2404
Mailing address
6200 EXCELSIOR BLVD, #204, ST LOUIS PARK, MN 55416-2730
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4595
MN
Other
Enumeration date
09/29/2008
Last updated
09/29/2008
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