Individual
NOAH STROM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5606 154TH ST W, PRIOR LAKE, MN 55372-9753
(612) 275-9212
Mailing address
5606 154TH ST W, PRIOR LAKE, MN 55372-9753
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5143
MN
Other
Enumeration date
09/25/2008
Last updated
09/25/2008
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