Chiropractic Wellness PA

NPI #1942366679 in Maple Grove, Minnesota

Provider Information

NPI Number: 1942366679
Entity Type: Organization
Organization Name: Chiropractic Wellness PA
Primary Specialty: Chiropractor
Enumeration Date: Dec 28, 2006
Last Updated: Jan 31, 2008

Practice Location

Address: 11254 86TH AVE N
City: Maple Grove
State: Minnesota
ZIP Code: 55369-4510
Phone: (763) 494-0090

Authorized Official

Name: CAROLYN OHARA
Title: OWNER
Phone: (763) 494-0090

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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