Healthsource of Minot, LLC

NPI #1194166173 in Minot, North Dakota

Provider Information

NPI Number: 1194166173
Entity Type: Organization
Organization Name: Healthsource of Minot, LLC
Primary Specialty: Chiropractor
Enumeration Date: Jul 8, 2013
Last Updated: Jun 19, 2018

Practice Location

Address: 1418 S BROADWAY
Address 2: STE C
City: Minot
State: North Dakota
ZIP Code: 58701
Phone: (701) 209-0230

Authorized Official

Name: MRS. CRYSTAL J CORRIGAN
Title: MANAGER
Phone: (208) 220-1783

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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