Healthcare Provider Details
I. General information
NPI: 1538644885
Provider Name (Legal Business Name): UNISON CHIROPRACTIC CENTER PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/02/2018
Last Update Date: 12/10/2025
Certification Date: 12/10/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2006 1ST AVE STE 209
ANOKA MN
55303-2240
US
IV. Provider business mailing address
2006 1ST AVE STE 209
ANOKA MN
55303-2240
US
V. Phone/Fax
- Phone: 763-421-0436
- Fax: 763-225-9985
- Phone: 763-421-0436
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 111N00000X |
| Taxonomy | Chiropractor |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
DORIN
N
POGREBAN
Title or Position: OWNER
Credential: DC
Phone: 763-421-0436