Organization
CORCORAN FAMILY CHIROPRACTIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NICHOLLE DIANE CORCORAN DC (CHIROPRACTOR-OWNER)
(651) 797-2376
Entity
Organization
Contact information
Practice address
1267 STRYKER AVE, SAINT PAUL, MN 55118-2220
(651) 797-2376
(651) 797-2376
Mailing address
1267 STRYKER AVE, SAINT PAUL, MN 55118-2220
(651) 797-2376
(651) 797-2376
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4779
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
876455000
—
MN
Enumeration date
03/08/2007
Last updated
06/13/2008
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