Otsego West Chiropractic

NPI #1518121656 in Otsego, Minnesota

Provider Information

NPI Number: 1518121656
Entity Type: Organization
Organization Name: Otsego West Chiropractic
Primary Specialty: Chiropractor
Enumeration Date: Jul 17, 2008
Last Updated: Jul 17, 2008

Practice Location

Address: 16201 90TH ST NE
Address 2: SUITE 205
City: Otsego
State: Minnesota
ZIP Code: 55330-7438
Phone: (763) 229-2552

Authorized Official

Name: DR. DENNIS STULL, DC
Title: PRESIDENT
Phone: (763) 229-2552

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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