Organization
COLLYARD CHIROPRACTIC P A
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CARRIE LYNN COLLYARD-GLINSEK D.C. (OWNER)
(763) 274-0377
Entity
Organization
Contact information
Practice address
510 FREEPORT AVE NW STE F, ELK RIVER, MN 55330-3007
(763) 274-0377
(763) 633-0366
Mailing address
510 FREEPORT AVE NW STE F, ELK RIVER, MN 55330-3007
(763) 274-0377
(763) 633-0366
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
DC 4090
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
966407600
—
MN
Enumeration date
09/28/2009
Last updated
01/07/2015
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