# EXCELSIOR AND GRAND CHIROPRACTIC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1932691714
- **Authorized official:** HEATHER M FLATGARD DC (OWNER)
- **Authorized official phone:** (952) 920-9247

## Contact information

- **Practice address:** 5605 W 36TH ST STE 100C, ST LOUIS PARK, MN 55416-2599
- **Practice address phone:** (952) 920-9247
- **Practice address fax:** (952) 922-3480
- **Mailing address:** 7500 HIGHWAY 7 APT 452, ST LOUIS PARK, MN 55426-4153

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | — | NULL | Yes |
| 111N00000X | Chiropractor | — | — | Yes |

## Other

- **Enumeration date:** 06/06/2018
- **Last updated:** 12/05/2023