Individual
DR. NICHOLAS G CARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
1532 MEADOW LN, MAPLE PLAIN, MN 55359-9531
(906) 369-0905
Mailing address
1532 MEADOW LN, MAPLE PLAIN, MN 55359-9531
(906) 369-0905
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
6977
MN
Other
Enumeration date
06/07/2022
Last updated
06/07/2022
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