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Organization

NORTHWOODS SPINE INSTSITUTE, PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. GARY LEE HAHN JR. D.C. (PRESIDENT/DOCTOR)
(763) 533-7700
Entity
Organization

Contact information

Practice address
5524 W BROADWAY AVE, CRYSTAL, MN 55428-3508
(763) 533-7700
(763) 533-6670
Mailing address
5524 W BROADWAY AVE, CRYSTAL, MN 55428-3508
(763) 533-7700
(763) 533-6670

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4522
MN

Other

Enumeration date
08/21/2007
Last updated
08/21/2007
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