Organization
LAKE NICOLLET CLINIC, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ARTUR VICTOR GUZHAGIN DC (PRESIDENT)
(612) 259-7570
Entity
Organization
Contact information
Practice address
ONE WEST LAKE STREET, SUITE 195, MINNEAPOLIS, MN 55408-3362
(612) 259-7570
(612) 886-3427
Mailing address
PO BOX 80808, MINNEAPOLIS, MN 55408-8808
(612) 259-7570
(612) 886-3427
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1176
MN
Other
Enumeration date
05/01/2013
Last updated
05/01/2013
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