Organization
NORTH SUBURBAN CHIROPRACTIC CLINIC P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD RAY TOLLEFSON D.C. (OWNER)
(763) 754-2573
Entity
Organization
Contact information
Practice address
12045 HANSON BLVD NW, COON RAPIDS, MN 55448-1969
(763) 754-2573
(763) 754-0128
Mailing address
12045 HANSON BLVD NW, COON RAPIDS, MN 55448-1969
(763) 754-2573
(763) 754-0128
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2478
MN
Other
Enumeration date
04/16/2007
Last updated
08/22/2020
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