Organization
REVOLUTION CHIROPRACTIC WELLNESS CENTER PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUZANNE M HOLMES DC (OWNER)
(763) 425-4577
Entity
Organization
Contact information
Practice address
8509 JEFFERSON LN N, BROOKLYN PARK, MN 55445-2119
(763) 425-4577
(763) 425-2676
Mailing address
8509 JEFFERSON LN N, BROOKLYN PARK, MN 55445-2119
(763) 425-4577
(763) 425-2676
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5016
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1093961385
PERSONAL NPI FOR SUZANNE HOLMES DC
MN
Enumeration date
12/11/2008
Last updated
12/29/2015
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