Individual
LOGAN THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
10631 POND CURVE, WOODBURY, MN 55129
15072067289
Mailing address
10631 POND CURV, WOODBURY, MN 55129-5810
15072067289
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
6398
MN
Other
Enumeration date
07/19/2017
Last updated
07/19/2017
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