Organization
OASIS CHIROPRACTIC PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEXANDER WILLIAM SHEPPARD DC (CHIROPRACTOR OWNER)
(651) 458-5565
Entity
Organization
Contact information
Practice address
7424 E PT DOUGLAS RD S, COTTAGE GROVE, MN 55016
(651) 458-5565
(651) 458-5023
Mailing address
7424 E PT DOUGLAS RD S, COTTAGE GROVE, MN 55016
(651) 458-5565
(651) 458-5023
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4316
MN
Other
Enumeration date
08/10/2007
Last updated
08/10/2007
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