Organization
LIFECLINIC REHABILITATION AND CHIROPRACTIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NICHOLAS DONALD NOVAKOSKI D.C. (CHIROPRACTIC)
(952) 546-5474
Entity
Organization
Contact information
Practice address
5525 CEDAR LAKE RD S, ST LOUIS PARK, MN 55416-1420
(952) 546-5474
Mailing address
3200 BLAISDELL AVE, APT 1, MINNEAPOLIS, MN 55408-4419
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
04/28/2014
Last updated
04/28/2014
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