Organization
ILLUMINNATE FAMILY CHIROPRACTIC, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN CHRISTIAN WARD D.C. (PRESIDENT)
(952) 239-0050
Entity
Organization
Contact information
Practice address
8931 HIGHWAY 5, SUITE A, LAKE ELMO, MN 55042-8900
(651) 204-0926
(651) 204-3031
Mailing address
8931 HIGHWAY 5, SUITE A, LAKE ELMO, MN 55042-8900
(651) 204-0926
(651) 204-3031
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4731
MN
Other
Enumeration date
05/17/2007
Last updated
07/17/2007
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