Organization
COULSON CHIROPRACTIC, LLC
Active
Other names
Maple Grove Chiropractic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDREW ROBERT COULSON D.C. (PRESIDENT/OWNER)
(763) 494-0828
Entity
Organization
Contact information
Practice address
13800 83RD WAY N, SUITE 108, MAPLE GROVE, MN 55369-7016
(763) 494-0828
Mailing address
13800 83RD WAY N, SUITE 108, MAPLE GROVE, MN 55369-7016
(763) 494-0828
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4988
MN
Other
Enumeration date
08/05/2007
Last updated
08/05/2007
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