Individual
MEGAN WALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
8439 GROVE PL, SHAKOPEE, MN 55379-8518
(712) 251-0388
Mailing address
5201 EDEN AVE, STE 190, EDINA, MN 55436-2368
(952) 920-9721
(952) 241-4355
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5901
MN
Other
Enumeration date
02/21/2014
Last updated
07/06/2020
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