Organization
FAMILY CHIROPRACTIC CENTER, PA
Active
Other names
Dr David E Traux
Organization subpart
No
Provider details
NPI number
Authorized official
ANNIE LEE MICKELSON DC (OWNER/PRESIDENT)
(651) 460-9449
Entity
Organization
Contact information
Practice address
20700 CHIPPENDALE AVE W STE 7, FARMINGTON, MN 55024-8206
(651) 460-9449
(651) 279-2148
Mailing address
20700 CHIPPENDALE AVE W STE 7, FARMINGTON, MN 55024-8206
(651) 460-9449
(651) 279-2148
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
1020
MN
261Q00000X
Clinic/Center
Primary
4381
MN
261Q00000X
Clinic/Center
—
—
Other
Enumeration date
02/14/2006
Last updated
09/01/2016
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