Individual
CYNTHIA SUSANNA VANSICKLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
9202 202ND ST W, SUITE 203, LAKEVILLE, MN 55044-7915
(952) 469-8385
Mailing address
725 2ND ST NW, FARIBAULT, MN 55021-5065
(515) 570-7695
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5646
MN
Other
Enumeration date
04/10/2012
Last updated
09/03/2012
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