Provider Demographics
NPI:1700820230
Name:AUSTIN, ROBIN ROBERTS (DC)
Entity Type:Individual
Prefix:DR
First Name:ROBIN
Middle Name:ROBERTS
Last Name:AUSTIN
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5940 CONCORD AVE
Mailing Address - Street 2:
Mailing Address - City:EDINA
Mailing Address - State:MN
Mailing Address - Zip Code:55424-1772
Mailing Address - Country:US
Mailing Address - Phone:952-412-6375
Mailing Address - Fax:952-920-6717
Practice Address - Street 1:5940 CONCORD AVE
Practice Address - Street 2:
Practice Address - City:EDINA
Practice Address - State:MN
Practice Address - Zip Code:55424-1772
Practice Address - Country:US
Practice Address - Phone:952-412-6375
Practice Address - Fax:952-920-6717
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN3859111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor