Individual
CALVIN RAY CHRISTOPHERSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
410 ELY ST, WOODBINE, IA 51579-1204
(712) 647-3444
Mailing address
410 ELY ST, WOODBINE, IA 51579-1204
(712) 647-3444
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
APPLIED FOR
IA
Other
Enumeration date
12/27/2013
Last updated
12/31/2013
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