Individual
DR. SARAH JEAN MACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
5922 LEXINGTON AVE N, SHOREVIEW, MN 55126-5604
(651) 964-1573
Mailing address
5922 LEXINGTON AVE N, SHOREVIEW, MN 55126-5604
(651) 964-1573
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5877
MN
Other
Enumeration date
02/27/2014
Last updated
02/27/2014
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