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Organization
SLP CHIROPRACTIC, PA
Active
Organization
SLP CHIROPRACTIC, PA
Active
Other names
Davis Chiropractic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HOWARD ALAN FIDLER DC (OWNER)
(952) 925-4085
Entity
Organization
Contact information
Practice address
6140 LAKE LINDEN DR, SUITE 100, EXCELSIOR, MN 55331-2954
(952) 474-0886
Mailing address
6140 LAKE LINDEN DR, SUITE 100, EXCELSIOR, MN 55331-2954
(952) 474-0886
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
701
MN
Other
Enumeration date
07/25/2007
Last updated
07/25/2007
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