Individual
AMANDA JOSEPHINE HAEG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
6409 CITY WEST PKWY, SUITE 105, EDEN PRAIRIE, MN 55344-7845
(952) 212-3770
Mailing address
6409 CITY WEST PKWY, SUITE 105, EDEN PRAIRIE, MN 55344-7845
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
6256
MN
Other
Enumeration date
09/28/2016
Last updated
09/28/2016
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