| 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 |
|---|---|
| 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 |
|---|---|
| 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 |
|---|---|
| Provider Enumeration Date | 02/29/2012 |
| Last Update Date | 02/29/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710251384 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 2703 (Minnesota) | Primary |
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