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Individual

MICHAEL JOSEPH KASTNER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
17 SOUTH CENTRAL AVE, ELBOW LAKE, MN 56531
(218) 685-4544
Mailing address
PO BOX 145, ELBOW LAKE, MN 56531
(218) 685-4544

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2721
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
503528700
MN
Enumeration date
09/07/2006
Last updated
04/24/2008
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