Organization
INTEGRATED HEALTHCARE SERVICES GOLDEN VALLEY PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISTOPHER PAUL MASSOGLIA DC (PRESIDENT)
(763) 593-0919
Entity
Organization
Contact information
Practice address
700 TWELVE OAKS CENTER DR, SUITE 101, WAYZATA, MN 55391-4401
(952) 893-8900
(952) 893-7399
Mailing address
6480 WAYZATA BLVD, GOLDEN VALLEY, MN 55426-1710
(763) 593-0919
(763) 593-9556
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
618
MN
Other
Enumeration date
03/02/2009
Last updated
04/24/2009
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