Organization
NORTHWEST CHIROPRACTIC P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DARRYL M HUMENNY D.C. (PRESIDENT)
(612) 442-2437
Entity
Organization
Contact information
Practice address
2703 E LAKE ST, MINNEAPOLIS, MN 55406-1927
(612) 442-2437
(612) 367-4029
Mailing address
2703 E LAKE ST, MINNEAPOLIS, MN 55406-1927
(612) 442-2437
(612) 367-4029
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4512
MN
Other
Enumeration date
08/03/2006
Last updated
02/18/2016
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