Shingle Creek Medical Group, LLC
NPI #1619413655 in Brooklyn Center, Minnesota
Provider Information
- NPI Number
- 1619413655
- Entity Type
- Organization
- Organization Name
- Shingle Creek Medical Group, LLC
- Primary Specialty
- Chiropractor
- Enumeration Date
- Jan 14, 2017
- Last Updated
- Sep 11, 2018
Practice Location
- Address
- 2781 FREEWAY BLVD
- Address 2
- SUITE 160
- City
- Brooklyn Center
- State
- Minnesota
- ZIP Code
- 55430-1753
- Phone
- (763) 244-8020
Authorized Official
- Name
- JASON JOHN STADTHER, DC
- Title
- OWNER
- Phone
- (763) 244-8021
Specialties & Taxonomy Codes
| Specialty |
|---|
| Chiropractor |
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