Eagle Creek Wellness Center LLC
NPI #1366631244 in Prior Lake, Minnesota
Provider Information
- NPI Number
- 1366631244
- Entity Type
- Organization
- Organization Name
- Eagle Creek Wellness Center LLC
- Primary Specialty
- Chiropractor
- Enumeration Date
- Oct 17, 2007
- Last Updated
- Mar 2, 2020
Practice Location
- Address
- 14180 COMMERCE AVE NE
- City
- Prior Lake
- State
- Minnesota
- ZIP Code
- 55372-1483
- Phone
- (952) 447-3395
Authorized Official
- Name
- NICHOLAS DAVID ANDERSON
- Title
- OWNER
- Phone
- (952) 447-9935
Specialties & Taxonomy Codes
| Specialty |
|---|
| Chiropractor |
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