Individual
LOGAN ENGELSTAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
2330 CROSSTOWN BLVD NE, HAM LAKE, MN 55304-4471
(763) 434-5714
Mailing address
1252 185TH AVE NE APT 105, EAST BETHEL, MN 55011-4455
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
6999
MN
Other
Enumeration date
05/31/2022
Last updated
05/31/2022
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