Great Lakes Chiropractic of St. Michael Pllc Ltd

NPI #1902308901 in Saint Michael, Minnesota

Provider Information

NPI Number: 1902308901
Entity Type: Organization
Organization Name: Great Lakes Chiropractic of St. Michael Pllc Ltd
Primary Specialty: Chiropractor
Enumeration Date: Mar 6, 2018
Last Updated: May 29, 2018

Practice Location

Address: 116 CENTRAL AVE E
City: Saint Michael
State: Minnesota
ZIP Code: 55376
Phone: (763) 515-6650

Authorized Official

Name: DR. KIMBERLY MARTIN, DC
Title: CHIROPRACTOR/OWNER
Phone: (763) 515-6650

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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