Organization
SLP CHIROPRACTIC, PA
Active
Other names
Davis Chiropractic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HOWARD ALAN FIDLER DC (OWNER)
(952) 925-4085
Entity
Organization
Contact information
Practice address
6140 LAKE LINDEN DR, SUITE 100, EXCELSIOR, MN 55331-2954
(952) 474-0886
Mailing address
6140 LAKE LINDEN DR, SUITE 100, EXCELSIOR, MN 55331-2954
(952) 474-0886
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
701
MN
Other
Enumeration date
07/25/2007
Last updated
07/25/2007
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