Organization
SMOCK CHIROPRACTIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GREGORY THOMAS SMOCK D.C. (PRESIDENT)
(612) 281-7393
Entity
Organization
Contact information
Practice address
1495 PULASKI CIR, BUFFALO, MN 55313-5024
(612) 281-7393
Mailing address
1495 PULASKI CIR, BUFFALO, MN 55313-5024
(612) 281-7393
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1471
MN
Other
Enumeration date
07/13/2010
Last updated
03/29/2011
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