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Organization

CONSCIOUS CHIROPRACTIC CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MAKENZIE LYNN STEENERSON DC (OWNER/CHIROPRACTOR)
(763) 607-3872
Entity
Organization

Contact information

Practice address
13786 REIMER DR N, MAPLE GROVE, MN 55311-2205
(763) 337-4543
Mailing address
13786 REIMER DR N, MAPLE GROVE, MN 55311-2205
(763) 337-4543

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
6347
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1235678392
INDIVIDUAL NPI
Enumeration date
04/12/2017
Last updated
04/12/2017
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