Individual
MARINA PROUDFOOT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
2021 E HENNEPIN AVE STE 137, MINNEAPOLIS, MN 55413-2723
(612) 676-0438
(612) 395-5247
Mailing address
PO BOX 18305, MINNEAPOLIS, MN 55418-0305
(612) 676-0438
(612) 395-5247
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1995
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
455228800
—
MN
Enumeration date
11/30/2006
Last updated
08/20/2008
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