Organization
NORTHERN CHIROPRACTIC AND WELLNESS CENTER LLC
Active
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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