Individual
MRS. REGINA AUSMUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
123 AVENUE C, CLOQUET, MN 55720-1563
(218) 879-1556
(218) 879-1568
Mailing address
123 AVENUE C, CLOQUET, MN 55720-1563
(218) 879-1556
(218) 879-1568
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3558
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0465658
—
IA
Enumeration date
08/01/2006
Last updated
03/04/2013
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