Individual
DR. CHERYL J CARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.C
Contact information
Practice address
2177 TROOP DR, SARTELL, MN 56377-4563
(320) 257-8266
(320) 257-7407
Mailing address
2177 TROOP DR, SARTELL, MN 56377-4563
(320) 257-8266
(320) 257-7407
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3493
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05D21CA
BLUE CROSS BLUE SHIELD
MN
01
—
232015
ACN
MN
01
—
5711799700
MEDICAL ASSISTANCE
MN
01
—
640
HSM
MN
Enumeration date
06/29/2006
Last updated
08/05/2008
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