Organization
AVID HEALTH AND WELLNESS CHIROPRACTIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TARA L CARLSON D.C. (PRESIDENT)
(952) 215-9411
Entity
Organization
Contact information
Practice address
700 TWELVE OAKS CENTER DR, SUITE 734, WAYZATA, MN 55391-4401
(952) 215-9411
Mailing address
572 HARRINGTON RD, WAYZATA, MN 55391-1550
(952) 215-9411
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
6055
MN
Other
Enumeration date
03/24/2015
Last updated
03/24/2015
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