Individual
DR. SHANE MATHEW COLBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
69603 233RD STREET, DASSEL, MN 55325-0002
(320) 275-3730
(320) 275-3907
Mailing address
PO BOX 2, DASSEL, MN 55325-0002
(320) 275-3730
(320) 275-3907
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4884
MN
Other
Enumeration date
02/02/2007
Last updated
07/08/2007
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