Most Relevant Information
Provider Data
| NPI Number: | 1003005018 |
| Provider Name: | ANDREW ROBERT COULSON D.C. |
| Entity Type: | Individual |
| Taxonomy Code: | 111N00000X |
| Specialty: | Chiropractor |
| License Number: | 4988 |
Most Important Dates
| Enumeration Date: | 10/16/2007 |
| Last Updated: | 10/16/2007 |
Provider Practice Location
13800 83RD WAY N
SUITE 108
MAPLE GROVE
MN
553697016
Practice Location Phone/Fax
| Phone: | 7634940828 |
| Fax: | 7634940856 |
Provider Mailing Location
13800 83RD WAY N
SUITE 108
MAPLE GROVE
MN
553697016
Provider Mailing Phone/Fax
| Phone: | 7634940828 |
| Fax: | 7634940856 |