Individual
DR. DUSTIN D EMBLOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1011 SECOND STREET NORTH, SUITE 202, ST. CLOUD, MN 56303-3237
(320) 240-0300
Mailing address
1011 SECOND STREET NORTH, SUITE 202, ST. CLOUD, MN 56303-3237
(320) 240-0300
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5254
MN
Other
Enumeration date
10/13/2009
Last updated
09/02/2015
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