Healthsource of White Bear Lake, Pllc
NPI #1073767372 in White Bear Lake, Minnesota
Provider Information
- NPI Number
- 1073767372
- Entity Type
- Organization
- Organization Name
- Healthsource of White Bear Lake, Pllc
- Primary Specialty
- Chiropractor
- Enumeration Date
- Nov 13, 2008
- Last Updated
- Feb 12, 2010
Practice Location
- Address
- 4801 HIGHWAY 61 N
- Address 2
- 105
- City
- White Bear Lake
- State
- Minnesota
- ZIP Code
- 55110-2737
- Phone
- (651) 762-5433
Authorized Official
- Name
- DR. MICHAEL LEO DIXON, DC
- Title
- CHIROPRACTOR
- Phone
- (651) 762-5433
Specialties & Taxonomy Codes
| Specialty |
|---|
| Chiropractor |
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