Organization
MOBILE ADVANTAGE CHIROPRACTIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GUY MARTIN (OWNER)
(763) 428-7551
Entity
Organization
Contact information
Practice address
7000 62ND AVE N, BROOKLYN PARK, MN 55428-2970
(763) 533-9389
Mailing address
15645 50TH ST NE, SAINT MICHAEL, MN 55376-3264
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3390
MN
Other
Enumeration date
10/14/2011
Last updated
10/14/2011
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