NPI 1003005018

Andrew Robert Coulson, DC

Practitioner Chiropractor Maple Grove, MN

Practice location

Address: 13800 83rd Way N Suite 108, Maple Grove, MN 55369-7016
Phone: (763) 494-0828
Fax: (763) 494-0856

Registered specialties

Chiropractor Primary

Chiropractic Providers Taxonomy 111N00000X Licence 4988 (MN)

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Registry record

NPI: 1003005018
Entity type: Individual
Sex (as registered): Male
NPI issued: 16 Oct 2007
Record last updated: 16 Oct 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.