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Organization
SG CHIROPRACTIC PC
Active
Organization
SG CHIROPRACTIC PC
Active
Other names
Advanced Body Chiropractic
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GREG LILLIS (BUSINESS MANAGER)
(507) 533-4777
Entity
Organization
Contact information
Practice address
93 20TH ST NE, STEWARTVILLE, MN 55976-8421
(507) 533-4777
(507) 533-4778
Mailing address
93 20TH ST NE, STEWARTVILLE, MN 55976-8421
(507) 533-4777
(507) 533-4778
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4424
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3366567
—
MN
Enumeration date
03/13/2014
Last updated
03/13/2014
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