Great Lakes Injury Center, Pllc

NPI #1447644257 in Baxter, Minnesota

Provider Information

NPI Number: 1447644257
Entity Type: Organization
Organization Name: Great Lakes Injury Center, Pllc
Primary Specialty: Chiropractor
Enumeration Date: Mar 19, 2015
Last Updated: Feb 14, 2019

Practice Location

Address: 7217 EXCELSIOR RD STE 105
City: Baxter
State: Minnesota
ZIP Code: 56425-8657
Phone: (218) 454-1390

Authorized Official

Name: SCOTT CAMERON CLOSE, DC
Title: OWNER/CHIROPRACTOR
Phone: (218) 454-1390

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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