Lake Nicollet Clinic, PA
NPI #1245675511 in Minneapolis, Minnesota
Provider Information
- NPI Number
- 1245675511
- Entity Type
- Organization
- Organization Name
- Lake Nicollet Clinic, PA
- Primary Specialty
- Chiropractor
- Enumeration Date
- May 1, 2013
- Last Updated
- May 1, 2013
Practice Location
- Address
- ONE WEST LAKE STREET
- Address 2
- SUITE 195
- City
- Minneapolis
- State
- Minnesota
- ZIP Code
- 55408-3362
- Phone
- (612) 259-7570
Authorized Official
- Name
- MR. ARTUR VICTOR GUZHAGIN, DC
- Title
- PRESIDENT
- Phone
- (612) 259-7570
Specialties & Taxonomy Codes
| Specialty |
|---|
| Chiropractor |
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