Ellingson Chiropractic Clinic, Pc | |
140 3rd St N Waite Park MN 56387-1206 | |
(320) 251-3828 | |
(320) 258-4481 |
Full Name | Ellingson Chiropractic Clinic, Pc |
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Speciality | Clinic/center - Primary Care |
Location | 140 3rd St N, Waite Park, Minnesota |
Authorized Official Name and Position | Bruce Paul Ellingson (OWNER) |
Authorized Official Contact | 3202513828 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Ellingson Chiropractic Clinic, Pc 140 3rd St N Waite Park MN 56387-1206 Ph: (320) 251-3828 | Ellingson Chiropractic Clinic, Pc 140 3rd St N Waite Park MN 56387-1206 Ph: (320) 251-3828 |
NPI Number | 1710251384 |
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Provider Enumeration Date | 02/29/2012 |
Last Update Date | 02/29/2012 |
Identifier | Type | State | Issuer |
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1710251384 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QP2300X | Clinic/center - Primary Care | 2703 (Minnesota) | Primary |
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