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Individual

DR. CHASE MATTHEW MARTIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
4080 TOWER ST STE 1080, ST BONIFACIUS, MN 55375-1144
(952) 446-1800
(952) 446-1801
Mailing address
PO BOX 268, ST BONIFACIUS, MN 55375-1144
(952) 446-1800
(952) 446-1801

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5546
MN

Other

Enumeration date
07/07/2011
Last updated
01/29/2020
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