Organization
ANDOVER FAMILY CHIROPRACTIC PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID HENNING DC (PRESIDENT)
(763) 957-2940
Entity
Organization
Contact information
Practice address
1573 154TH AVE NW, ANDOVER, MN 55304-2695
(763) 413-0032
(763) 432-3688
Mailing address
1573 154TH AVE NW, ANDOVER, MN 55304-2695
(763) 413-0032
(763) 432-3688
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
225700000X
Massage Therapist
—
—
Other
Enumeration date
06/23/2011
Last updated
06/23/2011
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