Organization
ACU-CHIROPRACTIC WELLNESS CENTER, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SCOTT SAMMON DC (PRESIDENT)
(651) 454-1000
Entity
Organization
Contact information
Practice address
4590 SCOTT TRL, SUITE NUMBER 110, EAGAN, MN 55122-3331
(651) 454-1000
Mailing address
4590 SCOTT TRL, SUITE NUMBER 110, EAGAN, MN 55122-3331
(651) 454-1000
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3303
MN
111N00000X
Chiropractor
4324
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6967167
—
MN
Enumeration date
10/23/2006
Last updated
08/22/2020
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