Individual
MS. MOLLY LANE BIRD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
1053 GRAND AVE STE 114, SAINT PAUL, MN 55105-3074
(651) 292-9247
(651) 348-6367
Mailing address
12770 GERMANE AVE, APT 303, APPLE VALLEY, MN 55124-6794
(314) 580-8424
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5839
MN
Other
Enumeration date
09/12/2013
Last updated
03/26/2014
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