Organization
FISHTRAP LAKE ENTERPRISES INC.
Active
Other names
Hidden Valley Chiropractic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL EDWARD NOVAK D.C. (CEO)
(952) 895-1120
Entity
Organization
Contact information
Practice address
3701 HIGHWAY 13 W, BURNSVILLE, MN 55337-1721
(952) 895-1120
(952) 895-5377
Mailing address
3701 HIGHWAY 13 W, BURNSVILLE, MN 55337-1721
(952) 895-1120
(952) 895-5377
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
02/21/2011
Last updated
03/06/2012
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