Bass Lake Chiropractic Clinic, P.a.

NPI #1487747226 in Crystal, Minnesota

Provider Information

NPI Number: 1487747226
Entity Type: Organization
Organization Name: Bass Lake Chiropractic Clinic, P.a.
Primary Specialty: Chiropractor
Enumeration Date: Oct 2, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 5640 W BROADWAY AVE
City: Crystal
State: Minnesota
ZIP Code: 55428-3556
Phone: (763) 537-8070

Authorized Official

Name: DR. HEATHER MARIE VINJE, D.C.
Title: OWNER
Phone: (763) 537-8070

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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