Northstar Chiropractic

NPI #1053850552 in Fargo, North Dakota

Provider Information

NPI Number: 1053850552
Entity Type: Organization
Organization Name: Northstar Chiropractic
Primary Specialty: Chiropractor
Enumeration Date: Feb 16, 2017
Last Updated: May 8, 2017

Practice Location

Address: 5621 36TH AVE S
Address 2: SUITE 200
City: Fargo
State: North Dakota
ZIP Code: 58104-5269
Phone: (701) 429-7001

Authorized Official

Name: DR. GARY MELLUM, DC
Title: OWNDER
Phone: (701) 429-7001

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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