Organization
CASEY J OIE PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CASEY OIE DC (OWNER/PRESIDENT)
(952) 974-9740
Entity
Organization
Contact information
Practice address
16550 W 78TH ST, SUITE C, EDEN PRAIRIE, MN 55346-4315
(952) 974-9740
Mailing address
16550 W 78TH ST, SUITE C, EDEN PRAIRIE, MN 55346-4315
(952) 974-9740
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2286
MN
Other
Enumeration date
02/19/2008
Last updated
02/19/2008
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