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Individual

MICHAEL BRADLEY SHINDER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
4455 N HWY 169, SUITE 200, PLYMOUTH, MN 55442
(763) 557-9032
(763) 557-9838
Mailing address
4455 N HWY 169, SUITE 200, PLYMOUTH, MN 55442
(763) 557-9032
(763) 557-9838

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2411
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
191028100
MN
01
60629SH
BC/BS
MN
Enumeration date
07/26/2005
Last updated
04/29/2010
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