DR. Connie Theisen

NPI #1063599892 in Maple Grove, Minnesota

Provider Information

NPI Number: 1063599892
Entity Type: Individual
Name: DR. Connie Theisen
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Chiropractor
Enumeration Date: Nov 1, 2006
Last Updated: Sep 3, 2008

Practice Location

Address: 9479 GARLAND AVE
City: Maple Grove
State: Minnesota
ZIP Code: 55311-5480
Phone: (763) 494-8787

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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