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Dr. Dustin Paul Carlson, DC
Chiropractor in White Bear Lake, Minnesota
NPI 1417045048

Dustin Paul Carlson is a Chiropractor based in White Bear Lake, MN. Dustin Paul Carlson practices in White Bear Lake, MN and has the professional credentials of DC. The NPI Number for Dustin Paul Carlson is 1417045048 and holds a License No. 4394 (Minnesota).

The current practice location address for Dustin Paul Carlson is 4717 Clark Ave, White Bear Lake, MN and can be reached out via phone at 651-762-8040 and via fax at 651-762-8070.

Location: 4717 Clark Ave, White Bear Lake, MN, 55110-3221
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1417045048
Provider Name
Dustin Paul Carlson
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
4717 Clark Ave, White Bear Lake, MN, 55110-3221
Phone Number
651-762-8040
Fax Number
651-762-8070
Provider Enumeration Date
10/10/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
599S5CA 01 MN BLUE CROSS IPN
614970700 05 MN
94027 01 MN HEALTHPARTNERS PIN
institution
Provider Business Practice Location Address Details
Address
4717 Clark Ave
City
White Bear Lake
State
Minnesota
Zip
55110-3221
Phone Number
651-762-8040
Fax Number
651-762-8070
person
Provider Business Mailing Address Details
Address
4717 Clark Ave
City
White Bear Lake
State
Minnesota
Zip
55110-3221
Phone Number
651-762-8040
Fax Number
651-762-8070
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
4394 (Minnesota)
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
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