Provider Demographics
NPI:1851488845
Name:ROBSON, TORY MALCOLM (DC)
Entity Type:Individual
Prefix:DR
First Name:TORY
Middle Name:MALCOLM
Last Name:ROBSON
Suffix:
Gender:M
Credentials:DC
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Mailing Address - Street 1:8345 CRYSTAL VIEW RD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:EDEN PRAIRIE
Mailing Address - State:MN
Mailing Address - Zip Code:55344-5368
Mailing Address - Country:US
Mailing Address - Phone:952-943-2440
Mailing Address - Fax:952-943-2400
Practice Address - Street 1:8345 CRYSTAL VIEW RD
Practice Address - Street 2:SUITE 100
Practice Address - City:EDEN PRAIRIE
Practice Address - State:MN
Practice Address - Zip Code:55344-5368
Practice Address - Country:US
Practice Address - Phone:952-943-2440
Practice Address - Fax:952-943-2400
Is Sole Proprietor?:No
Enumeration Date:2006-10-10
Last Update Date:2010-11-19
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MN4473111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN387R77ROOtherBCBS MINNESOTA
MN387R77ROOtherBCBS MINNESOTA