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Individual

DR. MARTIN O ENG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.C

Contact information

Practice address
710 DODGE AVENUE NW, SUITE C, ELK RIVER, MN 55330-2890
(763) 441-1701
(763) 441-5348
Mailing address
710 DODGE AVENUE NW, SUITE C, ELK RIVER, MN 55330-2890
(763) 441-1701
(763) 441-5348

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3331
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
6855253-00
MN
Enumeration date
02/22/2006
Last updated
07/24/2012
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