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Organization
ULTIMATE HEALTH CHIROPRACTIC, PLLC
Active
Organization
ULTIMATE HEALTH CHIROPRACTIC, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHAD MARTIN KOTERBA DC (CHIROPRACTOR/OWNER)
(952) 541-0148
Entity
Organization
Contact information
Practice address
6640 SHADY OAK RD STE 325, EDEN PRAIRIE, MN 55344-7706
(952) 541-0148
(952) 767-2422
Mailing address
6640 SHADY OAK RD STE 325, EDEN PRAIRIE, MN 55344-7706
(952) 541-0148
(952) 767-2422
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5604
MN
Other
Enumeration date
02/01/2012
Last updated
10/31/2020
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