Organization
SOUTHSIDE CHIROPRACTIC, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LEE ANN HERFORT D.C. (OWNER)
(612) 827-0657
Entity
Organization
Contact information
Practice address
5536 CHICAGO AVE, MINNEAPOLIS, MN 55417-2446
(612) 827-0657
(612) 827-3102
Mailing address
5536 CHICAGO AVE, MINNEAPOLIS, MN 55417-2446
(612) 827-0657
(612) 827-3102
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2085
MN
Other
Enumeration date
02/19/2008
Last updated
02/19/2008
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