Interstate Chiropractic, LLC

NPI #1598912818 in Lakeville, Minnesota

Provider Information

NPI Number: 1598912818
Entity Type: Organization
Organization Name: Interstate Chiropractic, LLC
Primary Specialty: Chiropractor
Enumeration Date: Aug 19, 2008
Last Updated: Oct 7, 2009

Practice Location

Address: 11276 210 ST W
Address 2: STE 104
City: Lakeville
State: Minnesota
ZIP Code: 55044
Phone: (952) 469-3443

Authorized Official

Name: DR. ERIC LEIGH TESSMER, DC
Title: OWNER
Phone: (952) 469-3443

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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