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
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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