Organization
ELEVATION CHIROPRACTIC & WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ADAM DAVID LILLA D.C. (CHIROPRACTOR)
(612) 500-9182
Entity
Organization
Contact information
Practice address
5415 NICOLLET AVE, MINNEAPOLIS, MN 55419-1927
(612) 500-9182
Mailing address
5615 22ND AVE S, MINNEAPOLIS, MN 55417-2701
(612) 500-9182
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5035
MN
Other
Enumeration date
08/07/2015
Last updated
08/07/2015
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