Provider Demographics
NPI:1083112999
Name:DANIELSON, ALLISON LEE (DC)
Entity Type:Individual
Prefix:DR
First Name:ALLISON
Middle Name:LEE
Last Name:DANIELSON
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
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Mailing Address - Street 1:13700 REIMER DR N
Mailing Address - Street 2:STE 250A
Mailing Address - City:MAPLE GROVE
Mailing Address - State:MN
Mailing Address - Zip Code:55311-4580
Mailing Address - Country:US
Mailing Address - Phone:763-432-2942
Mailing Address - Fax:763-420-5604
Practice Address - Street 1:9325 UPLAND LN N STE 240
Practice Address - Street 2:
Practice Address - City:MAPLE GROVE
Practice Address - State:MN
Practice Address - Zip Code:55369-4486
Practice Address - Country:US
Practice Address - Phone:763-432-2942
Practice Address - Fax:763-299-1779
Is Sole Proprietor?:No
Enumeration Date:2018-01-25
Last Update Date:2023-05-01
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MN6427111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor