Grand Avenue Chiropractic & Acupuncture, Pllc
NPI #1285964411 in Saint Paul, Minnesota
Provider Information
- NPI Number
- 1285964411
- Entity Type
- Organization
- Organization Name
- Grand Avenue Chiropractic & Acupuncture, Pllc
- Primary Specialty
- Chiropractor
- Enumeration Date
- Jan 11, 2010
- Last Updated
- Jan 17, 2017
Practice Location
- Address
- 976 GRAND AVE
- City
- Saint Paul
- State
- Minnesota
- ZIP Code
- 55105-3014
- Phone
- (651) 222-7381
Authorized Official
- Name
- DR. KRISTEN MODDRELL, D.C.
- Title
- OWNER
- Phone
- (651) 222-7381
Specialties & Taxonomy Codes
| Specialty |
|---|
| Chiropractor |
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