Organization
ARCHETYPE CHIROPRACTIC CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHAWN P PREISLER (OWNER)
(320) 259-9099
Entity
Organization
Contact information
Practice address
71 10TH AVE S, WAITE PARK, MN 56387-1040
(320) 259-9099
Mailing address
71 10TH AVE SO, WAITE PARK, MN 56387-1040
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4430
MN
Other
Enumeration date
02/19/2008
Last updated
05/09/2008
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