Organization
FAMILY TREE CHIROPRACTIC CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALYSSA J SATERDALEN D.C. (OWNER)
(952) 697-4044
Entity
Organization
Contact information
Practice address
6311 WAYZATA BLVD STE 330, ST LOUIS PARK, MN 55416-1288
(952) 930-0699
(952) 933-6410
Mailing address
1660 HIGHWAY 100 S STE 500, ST LOUIS PARK, MN 55416-1551
(952) 697-4044
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4546
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11N61FA
BC/BS OF MINNESOTA
MN
05
—
530008000
—
MN
01
—
665914
ACN PROVIDER
—
Enumeration date
07/19/2006
Last updated
08/20/2010
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