Allied Chiropractic Center of Eagan Pa.
NPI #1851464036 in Bloomington, Minnesota
Provider Information
- NPI Number
- 1851464036
- Entity Type
- Organization
- Organization Name
- Allied Chiropractic Center of Eagan Pa.
- Primary Specialty
- Chiropractor
- Enumeration Date
- Nov 16, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 3916 W 113TH ST
- City
- Bloomington
- State
- Minnesota
- ZIP Code
- 55437-3503
- Phone
- (612) 709-3104
Authorized Official
- Name
- DR. MARK CHARLES GUSTAFSON, D.C.
- Title
- CEO,CHIROPRACTOR
- Phone
- (612) 709-3104
Specialties & Taxonomy Codes
| Specialty |
|---|
| Chiropractor |
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