Individual
DR. MALACHI JAPHETH MART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
10761 RETREAT LN, #4, WOODBURY, MN 55129-6921
(612) 770-5117
Mailing address
10761 RETREAT LN, #4, WOODBURY, MN 55129-6921
(612) 770-5117
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5498
MN
Other
Enumeration date
03/07/2011
Last updated
03/07/2011
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