Fishtrap Lake Enterprises Inc.
NPI #1497052898 in Burnsville, Minnesota
Provider Information
- NPI Number
- 1497052898
- Entity Type
- Organization
- Organization Name
- Fishtrap Lake Enterprises Inc.
- Primary Specialty
- Chiropractor
- Enumeration Date
- Feb 21, 2011
- Last Updated
- Mar 6, 2012
Practice Location
- Address
- 3701 HIGHWAY 13 W
- City
- Burnsville
- State
- Minnesota
- ZIP Code
- 55337-1721
- Phone
- (952) 895-1120
Authorized Official
- Name
- DR. MICHAEL EDWARD NOVAK, D.C.
- Title
- CEO
- Phone
- (952) 895-1120
Specialties & Taxonomy Codes
| Specialty |
|---|
| Chiropractor |
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