Individual
IVAR SORENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
5184 HIGHWAY 2 W, BEMIDJI, MN 56601
(218) 751-8099
(218) 751-8133
Mailing address
PO BOX 697, BEMIDJI, MN 56619
(218) 751-8099
(218) 751-8133
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1515
MN
Other
Enumeration date
09/28/2006
Last updated
07/08/2007
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