Individual
SAMANTHA S VITEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
2112 LYNDALE AVE S, MINNEAPOLIS, MN 55405
(816) 456-8195
Mailing address
2112 LYNDALE AVE S, MINNEAPOLIS, MN 55405-3026
(816) 456-8195
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
6205
MN
Other
Enumeration date
07/03/2012
Last updated
06/11/2019
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