Individual
DR. BENJAMIN J GAVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
4801 HIGHWAY 61 N STE 105, WHITE BEAR LAKE, MN 55110-2748
(651) 762-5433
Mailing address
4801 HIGHWAY 61 N STE 105, WHITE BEAR LAKE, MN 55110-2748
(651) 762-5433
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
6389
MN
Other
Enumeration date
06/05/2017
Last updated
06/05/2017
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