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Organization

PEARSON CHIROPRACTIC CLINIC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. SCOT A. PEARSON D.C. (OWNER)
(952) 835-4772
Entity
Organization

Contact information

Practice address
4444 W 76TH ST STE 100, EDINA, MN 55435-5181
(952) 835-4772
(952) 835-4604
Mailing address
4444 W 76TH ST STE 100, EDINA, MN 55435-5181
(952) 835-4772
(952) 835-4604

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5017
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2670
MN
Enumeration date
06/19/2009
Last updated
06/19/2009
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