North Suburban Chiropractic Clinic P.a.
NPI #1942425699 in Coon Rapids, Minnesota
Provider Information
- NPI Number
- 1942425699
- Entity Type
- Organization
- Organization Name
- North Suburban Chiropractic Clinic P.a.
- Primary Specialty
- Chiropractor
- Enumeration Date
- Apr 16, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 12045 HANSON BLVD NW
- City
- Coon Rapids
- State
- Minnesota
- ZIP Code
- 55448-1969
- Phone
- (763) 754-2573
Authorized Official
- Name
- DR. RICHARD RAY TOLLEFSON, D.C.
- Title
- OWNER
- Phone
- (763) 754-2573
Specialties & Taxonomy Codes
| Specialty |
|---|
| Chiropractor |
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