Individual
MARIE ROSE JOSEE GERARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
255 HIGHWAY 97 UNIT 2A, FOREST LAKE, MN 55025-2687
(651) 464-0800
Mailing address
25557 E COMFORT DR, CHISAGO CITY, MN 55013-9466
(651) 464-0800
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4270
MN
Other
Enumeration date
05/03/2007
Last updated
07/08/2007
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