Organization
PREMIER HEALTH OF COON RAPIDS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KELSEY CHMIEL D.C. (CO-OWNER)
(763) 270-5828
Entity
Organization
Contact information
Practice address
3340 NORTHDALE BLVD NW, SUITE 120, COON RAPIDS, MN 55448-1622
(763) 270-5828
(763) 270-5849
Mailing address
3340 NORTHDALE BLVD NW, SUITE 120, COON RAPIDS, MN 55448-1622
(763) 270-5828
(763) 270-5849
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5855
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1386068658
—
MN
Enumeration date
09/24/2014
Last updated
09/15/2020
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