South Lake Chiropractic Pllc

NPI #1447630223 in Excelsior, Minnesota

Provider Information

NPI Number: 1447630223
Entity Type: Organization
Organization Name: South Lake Chiropractic Pllc
Primary Specialty: Chiropractor
Enumeration Date: Jun 5, 2015
Last Updated: Jun 5, 2015

Practice Location

Address: 24000 HIGHWAY 7
Address 2: SUITE 215
City: Excelsior
State: Minnesota
ZIP Code: 55331-2939
Phone: (952) 474-2395

Authorized Official

Name: DR. MICHAEL ISAACSON, DC
Title: CEO
Phone: (952) 474-2395

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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