Individual
MIRANDA MCDONALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.A.C
Contact information
Practice address
470 W 78TH ST, SUITE 120, CHANHASSEN, MN 55317-4524
(952) 949-0676
Mailing address
470 W 78TH ST, SUITE 120, CHANHASSEN, MN 55317-4524
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
1509
MN
Other
Enumeration date
12/29/2009
Last updated
12/29/2009
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