Provider Demographics
NPI:1730129677
Name:ANSHUS, CRAIG LYMAN (DC)
Entity Type:Individual
Prefix:DR
First Name:CRAIG
Middle Name:LYMAN
Last Name:ANSHUS
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7501 80TH ST S
Mailing Address - Street 2:
Mailing Address - City:COTTAGE GROVE
Mailing Address - State:MN
Mailing Address - Zip Code:55016-3020
Mailing Address - Country:US
Mailing Address - Phone:651-459-0962
Mailing Address - Fax:651-458-8037
Practice Address - Street 1:7501 80TH ST S
Practice Address - Street 2:
Practice Address - City:COTTAGE GROVE
Practice Address - State:MN
Practice Address - Zip Code:55016-3020
Practice Address - Country:US
Practice Address - Phone:651-459-0962
Practice Address - Fax:651-458-8037
Is Sole Proprietor?:No
Enumeration Date:2006-06-08
Last Update Date:2010-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN2224111N00000X
MN238171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
No171100000XOther Service ProvidersAcupuncturist