Individual
BRUCE PAUL ELLINGSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
140 3RD ST N, WAITE PARK, MN 56387-1206
(320) 251-3828
(320) 258-4481
Mailing address
140 3RD ST N, WAITE PARK, MN 56387-1206
(320) 251-3828
(320) 258-4481
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2703
MN
Other
Enumeration date
01/19/2007
Last updated
07/08/2007
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