Organization
ST. CHARLES FAMILY CHIROPRACTIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERIC DOUGLAS OMDAHL D.C. (PRESIDENT)
(507) 932-5696
Entity
Organization
Contact information
Practice address
213 E 6TH ST, SAINT CHARLES, MN 55972-1403
(507) 932-5696
Mailing address
213 E 6TH ST, SAINT CHARLES, MN 55972-1403
(507) 932-5696
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4958
MN
Other
Enumeration date
02/29/2008
Last updated
03/03/2008
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