Organization
ALLIED CHIROPRACTIC, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DUSTIN D EMBLOM D.C. (PRESIDENT)
(320) 251-6422
Entity
Organization
Contact information
Practice address
1011 SECOND STREET NORTH, ST. CLOUD, MN 56303-3237
(320) 251-6422
(320) 251-6423
Mailing address
1011 SECOND STREET NORTH, SUIET 202, ST. CLOUD, MN 56303-3237
(320) 251-6422
(320) 251-6423
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
001968
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
875227300
—
MN
Enumeration date
10/09/2007
Last updated
09/02/2015
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