Individual
DR. ALEC JON NASSIRZADEH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
11820 ULYSSES ST NE, SUITE 104, BLAINE, MN 55434
(763) 330-1100
(763) 330-1102
Mailing address
290 MARKET ST UNIT 611, MINNEAPOLIS, MN 55405-1685
(763) 330-1100
(763) 330-1102
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
6877
MN
Other
Enumeration date
08/16/2021
Last updated
09/01/2021
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