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NPI Code Detail

MEDICARE: TODAY EVOLVED LTD.

MEDICARE: TODAY EVOLVED LTD.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1111N00000XChiropractor

General Provider Information

NPI Number : 1093315855
Entity Type Code : Organization
Provider Name (Legal Business Name) : TODAY EVOLVED LTD.
Provider Business Mailing Address
First Line : 321 BROADWAY AVE
Second Line :
City : ST PAUL PARK
State : MN
Zip : 55071-1841
Country : US
Telephone Number : 612-314-9482
Fax Number :
Provider Business Practice Location Address
First Line : 321 BROADWAY AVE
Second Line :
City : ST PAUL PARK
State : MN
Zip : 55071-1841
Country : US
Telephone Number : 612-314-9482
Fax Number :
Authorized Official
Title or Position : OWNER
Name : DR. DUSTIN DUKART
Credential : D.C.
Telephone Number : 612-314-9482
Provider Enumeration Date : 10/29/2020
Last Update Date : 10/29/2020

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Directions to “TODAY EVOLVED LTD. ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.