Lifetime Wellness Center, P.a.

NPI #1265465934 in Plymouth, Minnesota

Provider Information

NPI Number: 1265465934
Entity Type: Organization
Organization Name: Lifetime Wellness Center, P.a.
Primary Specialty: Chiropractor
Enumeration Date: Jul 8, 2006
Last Updated: Aug 30, 2007

Practice Location

Address: 14215 44TH PL N
Address 2: #6
City: Plymouth
State: Minnesota
ZIP Code: 55446-2344
Phone: (763) 559-5627

Authorized Official

Name: DR. JESSE C. PLOESSL, D.C.
Title: PRESIDENT
Phone: (763) 559-5627

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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