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Thomas Charles Wilson, DC
Chiropractor in Detroit Lakes, Minnesota
NPI 1679538565

Thomas Charles Wilson is a Chiropractor based in Detroit Lakes, MN. Thomas Charles Wilson practices in Detroit Lakes, MN and has the professional credentials of DC. The NPI Number for Thomas Charles Wilson is 1679538565 and holds a License No. 001629 (Minnesota).

The current practice location address for Thomas Charles Wilson is 213 State St W, Detroit Lakes, MN and can be reached out via phone at 218-847-4366 and via fax at 218-847-1838.

Location: 213 State St W, Detroit Lakes, MN, 56501-3005
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1679538565
Provider Name
Thomas Charles Wilson
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
213 State St W, Detroit Lakes, MN, 56501-3005
Phone Number
218-847-4366
Fax Number
218-847-1838
Provider Enumeration Date
04/20/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
49403WI 01 MN BLUE CROSS/BLUE SHIELD
972327700 05 MN
410144 01 MN CHIROPRACTIC CARE OF MN
institution
Provider Business Practice Location Address Details
Address
213 State St W
City
Detroit Lakes
State
Minnesota
Zip
56501-3005
Phone Number
218-847-4366
Fax Number
218-847-1838
person
Provider Business Mailing Address Details
Address
213 State St W
City
Detroit Lakes
State
Minnesota
Zip
56501-3005
Phone Number
218-847-4366
Fax Number
218-847-1838
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
001629 (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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