Organization
CARLSON CHIROPRACTIC CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DUSTIN CARLSON DC (PRESIDENT)
(651) 762-8040
Entity
Organization
Contact information
Practice address
4717 CLARK AVE, WHITE BEAR LAKE, MN 55110-3221
(651) 762-8040
Mailing address
4717 CLARK AVE, WHITE BEAR LAKE, MN 55110-3221
(651) 762-8040
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4394
MN
Other
Enumeration date
12/26/2007
Last updated
09/29/2008
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