Organization
CROSSTOWN CHIROPRACTIC PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MACKENZIE ENGELSTAD DC (CEO)
(507) 382-9026
Entity
Organization
Contact information
Practice address
2330 CROSSTOWN BLVD NE, HAM LAKE, MN 55304-4471
(763) 434-5714
Mailing address
2330 CROSSTOWN BLVD NE STE A, HAM LAKE, MN 55304-4471
(507) 382-9026
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
H100853627
—
MN
Enumeration date
05/06/2022
Last updated
06/28/2022
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