Premier Health of South Minneapolis Ltd
NPI #1194912444 in Minneapolis, Minnesota
Provider Information
- NPI Number
- 1194912444
- Entity Type
- Organization
- Organization Name
- Premier Health of South Minneapolis Ltd
- Primary Specialty
- Chiropractor
- Enumeration Date
- Oct 1, 2007
- Last Updated
- Sep 8, 2008
Practice Location
- Address
- 1813 E LAKE ST
- City
- Minneapolis
- State
- Minnesota
- ZIP Code
- 55407-1835
- Phone
- (612) 746-5557
Authorized Official
- Name
- LARRY L ESTEBO, DC
- Title
- PRESIDENT OWNER
- Phone
- (651) 379-1842
Specialties & Taxonomy Codes
| Specialty |
|---|
| Chiropractor |
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