Willow Creek Chiropractic, PA

NPI #1831278449 in Shoreview, Minnesota

Provider Information

NPI Number: 1831278449
Entity Type: Organization
Organization Name: Willow Creek Chiropractic, PA
Primary Specialty: Chiropractor
Enumeration Date: Nov 3, 2006
Last Updated: Aug 27, 2008

Practice Location

Address: 5922 LEXINGTON AVE N
City: Shoreview
State: Minnesota
ZIP Code: 55126-5604
Phone: (651) 784-3396

Authorized Official

Name: DR. MICHAEL DOUGLAS HEAD, DC
Title: PRESIDENT
Phone: (651) 784-3396

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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