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Organization
WAYPOINT MINNESOTA SPORTS PC
Active
Organization
WAYPOINT MINNESOTA SPORTS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANTHONY DIMARCO (CHIEF OPERATING OFFICER / SECRETARY)
(917) 434-9669
Entity
Organization
Contact information
Practice address
9325 UPLAND LN N, SUITE 230, MAPLE GROVE, MN 55369-4200
(763) 315-0466
Mailing address
9325 UPLAND LN N, SUITE 230, MAPLE GROVE, MN 55369-4200
(763) 315-0466
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
111NS0005X
Sports Physician Chiropractor
—
—
Other
Enumeration date
06/07/2013
Last updated
06/07/2013
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