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Organization
TC CORE SPINE AND SPORT
Active
Organization
TC CORE SPINE AND SPORT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GRANT MICHAEL NOBLES DC (OWNER)
(952) 922-9066
Entity
Organization
Contact information
Practice address
5250 W 74TH ST STE 8, EDINA, MN 55439-2229
(952) 922-9066
(952) 922-9663
Mailing address
5250 W 74TH ST STE 8, EDINA, MN 55439-2229
(952) 922-9066
(952) 922-9663
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1427392570
—
MN
Enumeration date
02/26/2019
Last updated
02/26/2019
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