Organization
OSVOLD CHIROPRACTIC CORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SHELDON MATTHEW OSVOLD D.C. (PRESIDENT)
(952) 854-3575
Entity
Organization
Contact information
Practice address
4811 NICOLLET AVE, MINNEAPOLIS, MN 55419-5510
(612) 821-9770
(612) 216-4296
Mailing address
8230 14TH AVE S, BLOOMINGTON, MN 55425-1716
(952) 854-3575
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4078
MN
Other
Enumeration date
10/26/2007
Last updated
10/26/2007
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