Individual
TODD CALVIN SEIDL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
40 BIRCH AVE S, MAPLE LAKE, MN 55358-4568
(320) 296-9014
Mailing address
40 BIRCH AVE S, PO BOX 400, MAPLE LAKE, MN 55358-4568
(320) 296-9014
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5442
MN
Other
Enumeration date
12/02/2010
Last updated
12/07/2010
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