Organization
HEALTHSOURCE OF MINNETONKA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEREK ANDERSON DC (OWNER)
(952) 746-1506
Entity
Organization
Contact information
Practice address
14413 EXCELSIOR BLVD, MINNETONKA, MN 55345-5821
(952) 746-1506
Mailing address
14413 EXCELSIOR BLVD, MINNETONKA, MN 55345-5821
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5624
MN
Other
Enumeration date
08/31/2015
Last updated
08/31/2015
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