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Dr. Larry Steven Balsimo, DC
Chiropractor in White Bear Lake, Minnesota
NPI 1619066875

Larry Steven Balsimo is a Chiropractor based in White Bear Lake, MN. Larry Steven Balsimo practices in White Bear Lake, MN and has the professional credentials of DC. The NPI Number for Larry Steven Balsimo is 1619066875 and holds a License No. #2606 (Minnesota).

The current practice location address for Larry Steven Balsimo is 4066 White Bear Ave N, White Bear Lake, MN and can be reached out via phone at 651-407-0402 and via fax at 651-407-0413.

Location: 4066 White Bear Ave N, White Bear Lake, MN, 55110-4305
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1619066875
Provider Name
Larry Steven Balsimo
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
4066 White Bear Ave N, White Bear Lake, MN, 55110-4305
Phone Number
651-407-0402
Fax Number
651-407-0413
Provider Enumeration Date
10/12/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
302L1BA 01 MN BLUE CROSS BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
4066 White Bear Ave N
City
White Bear Lake
State
Minnesota
Zip
55110-4305
Phone Number
651-407-0402
Fax Number
651-407-0413
person
Provider Business Mailing Address Details
Address
4066 White Bear Ave N
City
White Bear Lake
State
Minnesota
Zip
55110-4305
Phone Number
651-407-0402
Fax Number
651-407-0413
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
#2606 (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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