Hickory Health Clinic Pllc
NPI #1043841414 in Forest Lake, Minnesota
Provider Information
- NPI Number
- 1043841414
- Entity Type
- Organization
- Organization Name
- Hickory Health Clinic Pllc
- Primary Specialty
- Chiropractor
- Enumeration Date
- Feb 3, 2020
- Last Updated
- Feb 17, 2020
Practice Location
- Address
- 168 LAKE ST S STE C
- City
- Forest Lake
- State
- Minnesota
- ZIP Code
- 55025-4401
- Phone
- (651) 226-8338
Authorized Official
- Name
- RICHARD VINCENT OTTOMEYER, DC
- Title
- OWNER
- Phone
- (651) 226-8338
Specialties & Taxonomy Codes
| Specialty |
|---|
| Chiropractor |
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