Organization
SOUTH LAKE CHIROPRACTIC PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL ISAACSON DC (CEO)
(952) 474-2395
Entity
Organization
Contact information
Practice address
24000 HIGHWAY 7, SUITE 215, EXCELSIOR, MN 55331-2939
(952) 474-2395
(952) 401-1690
Mailing address
24000 HIGHWAY 7, SUITE 215, EXCELSIOR, MN 55331-2939
(952) 474-2395
(952) 401-1690
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3950998
MN
Other
Enumeration date
06/05/2015
Last updated
06/05/2015
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