Andrew W Ulvin Dcpa

NPI 1154639854 - Chiropractor - 111N00000X

NPI Details
NPI 1154639854
Enumeration Date 09/16/2010
Last Updated 02/22/2012
Entity Type Healthcare Provider
Active Over 6 years ago
Authorized Information
Name ANDREW WILLIAM ANDREW
Position OWNER
Phone (651) 462-3243
Fax
Practice Location
30962 FENWAY AVE N
UNIT 400
STACY MN, 55079-9659, US
Phone (651) 462-3243
Fax
Business Location
30962 FENWAY AVE N
P.O. BOX 298
STACY MN, 55079-9659, US
Phone (651) 462-3243
Fax
Toxanomy
Taxonomy Code 111N00000X
License State Minnesota
License Number 3840
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According to our database, Andrew W Ulvin Dcpa NPI is 1154639854, taxonomy code is 111N00000X and license number is 3840, license state is located at Minnesota. Andrew W Ulvin Dcpa physically located at 30962 Fenway Ave N, Stacy MN, 55079-9659. NPI Number 1033115704 has the healthcare provider type.

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1154639854 NPI number is provided on an as is basis without warranty of any kind. 1154639854 is maintained by the National Plan & Provider Enumeration System. The contents of Andrew W Ulvin Dcpa are for informational purposes only.