DR. Stacy Lane Hallgren, D.C., C.C.E.P., CST

NPI #1407036627 in Grand Forks, North Dakota

Provider Information

NPI Number
1407036627
Entity Type
Individual
Name
DR. Stacy Lane Hallgren, D.C., C.C.E.P., CST
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Chiropractor
Credential
D.C., C.C.E.P., CST
Enumeration Date
Nov 5, 2007
Last Updated
Aug 20, 2008

Practice Location

Address
4350 S WASHINGTON ST
Address 2
SUITE 100
ZIP Code
58201-7184
Phone
(701) 732-2888

Specialties & Taxonomy Codes

Specialty
Chiropractor

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