Northwoods Spine Instsitute, PA

NPI #1013100395 in Crystal, Minnesota

Provider Information

NPI Number: 1013100395
Entity Type: Organization
Organization Name: Northwoods Spine Instsitute, PA
Primary Specialty: Chiropractor
Enumeration Date: Aug 21, 2007
Last Updated: Aug 21, 2007

Practice Location

Address: 5524 W BROADWAY AVE
City: Crystal
State: Minnesota
ZIP Code: 55428-3508
Phone: (763) 533-7700

Authorized Official

Name: DR. GARY LEE HAHN JR., D.C.
Title: PRESIDENT/DOCTOR
Phone: (763) 533-7700

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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