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Organization

CHIROPRACTIC SPORT & SPINE CENTER INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. GUNNAR PAUL CARLSON DC (PRESIDENT)
(219) 322-3177
Entity
Organization

Contact information

Practice address
1000 EAGLE RIDGE DRIVE, STE A, SCHERERVILLE, IN 46375-4208
(219) 322-3177
(219) 322-3209
Mailing address
1000 EAGLE RIDGE DRIVE, STE A, SCHERERVILLE, IN 46375-4208
(219) 322-3177
(219) 322-3209

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
08001355A
IN

Other

Enumeration date
05/23/2013
Last updated
05/23/2013
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