Organization
COMPLETE CHIROPRACTIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GRANT LOUIS MODORY D.C. (CHIROPRACTOR)
(507) 645-3176
Entity
Organization
Contact information
Practice address
303 HESTER ST W, DUNDAS, MN 55019-3970
(507) 645-0333
Mailing address
303 HESTER ST W, DUNDAS, MN 55019-3970
(507) 645-0333
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4075
MN
Other
Enumeration date
11/07/2007
Last updated
11/07/2007
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