Carlson Chiropractic Corporation
NPI #1982888020 in White Bear Lake, Minnesota
Provider Information
- NPI Number
- 1982888020
- Entity Type
- Organization
- Organization Name
- Carlson Chiropractic Corporation
- Primary Specialty
- Chiropractor
- Enumeration Date
- Dec 26, 2007
- Last Updated
- Sep 29, 2008
Practice Location
- Address
- 4717 CLARK AVE
- City
- White Bear Lake
- State
- Minnesota
- ZIP Code
- 55110-3221
- Phone
- (651) 762-8040
Authorized Official
- Name
- DR. DUSTIN CARLSON, DC
- Title
- PRESIDENT
- Phone
- (651) 762-8040
Specialties & Taxonomy Codes
| Specialty |
|---|
| Chiropractor |
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