Organization
NORTHERN CHIROPRACTIC AND WELLNESS CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TYLER PAUL HANSON D.C. (OWNER)
(651) 797-3756
Entity
Organization
Contact information
Practice address
730 APOLLO DR, SUITE 120, LINO LAKES, MN 55014-3037
(651) 797-3756
Mailing address
730 APOLLO DR, SUITE 120, LINO LAKES, MN 55014-3037
(651) 797-3756
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
6001
MN
Other
Enumeration date
09/27/2016
Last updated
12/15/2016
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