Organization
SUMMIT CHIROPRACTIC AND WELLNESS CENTER LLC
Active
Organization
SUMMIT CHIROPRACTIC AND WELLNESS CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GILES STIFTER D.C., C.C.W.P. (PRESIDENT)
(763) 515-6177
Entity
Organization
Contact information
Practice address
10904 57TH ST NE, SUITE 107, ALBERTVILLE, MN 55301-4658
(763) 515-6177
(763) 515-6199
Mailing address
10904 57TH ST NE, SUITE 107, ALBERTVILLE, MN 55301-4658
(763) 515-6177
(763) 515-6199
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
12/06/2010
Last updated
12/16/2010
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