Individual provider · Type 1 NPI

Larry Steven Balsimo, DC

Chiropractor · White Bear Lake, MN

NPI number 1619066875 Active

Practice location

4066 White Bear Ave N
White Bear Lake, MN 55110-4305

Fax (651) 407-0413

Specialties and licenses

TaxonomyCodeLicense
Chiropractor Primary 111N00000X#2606 (MN)

Chiropractor: 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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About NPI 1619066875

Larry Steven Balsimo, DC's National Provider Identifier is 1619066875, issued on Oct 12, 2006. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in White Bear Lake, MN. The record was last updated on Jul 8, 2007.