Provider Demographics
NPI:1700163516
Name:CAMPION, DUSTIN PATRICK (DC)
Entity Type:Individual
Prefix:DR
First Name:DUSTIN
Middle Name:PATRICK
Last Name:CAMPION
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 1:1003 LEXINGTON AVE N
Mailing Address - Street 2:
Mailing Address - City:NEW PRAGUE
Mailing Address - State:MN
Mailing Address - Zip Code:56071-2026
Mailing Address - Country:US
Mailing Address - Phone:612-599-7787
Mailing Address - Fax:
Practice Address - Street 1:5151 EDINA INDUSTRIAL BLVD
Practice Address - Street 2:600
Practice Address - City:EDINA
Practice Address - State:MN
Practice Address - Zip Code:55439-3013
Practice Address - Country:US
Practice Address - Phone:612-599-7787
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-11-08
Last Update Date:2013-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC4194111N00000X
MN5787111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor