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Organization
MOE CHIRO TRES PLLC
Active
Organization
MOE CHIRO TRES PLLC
Active
Other names
Fit Family Chiropractic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KATHERINE ANN UPMANN DC (OWNER)
(763) 710-8888
Entity
Organization
Contact information
Practice address
1835 GATEWAY DR STE 104, COON RAPIDS, MN 55448-4513
(763) 710-8888
Mailing address
1835 GATEWAY DR STE 104, COON RAPIDS, MN 55448-4513
(763) 710-8888
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1326511379
—
MN
Enumeration date
10/08/2019
Last updated
04/12/2022
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