Organization
S GROUP PC
Active
Other names
Dr. Ethan Skog
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ETHAN LEE SKOG DC (CHIROPRACTOR)
(763) 496-7871
Entity
Organization
Contact information
Practice address
4900 HIGHWAY 169 N STE 301, NEW HOPE, MN 55428-4019
(763) 496-7871
Mailing address
4900 HIGHWAY 169 N STE 301, NEW HOPE, MN 55428-4019
(763) 496-7871
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
08/21/2019
Last updated
01/20/2020
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