Individual
DR. MITCHELL JEFFREY EVENSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
3400 W 66TH ST STE 128, EDINA, MN 55435-2109
(952) 835-6750
Mailing address
3400 W 66TH ST STE 128, EDINA, MN 55435-2109
(952) 835-6750
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
6499
MN
Other
Enumeration date
05/17/2018
Last updated
05/17/2018
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