Organization
GERALD A MADIR
Active
Other names
Amsden Way Chiropractic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GERALD A MADIR D.C. (SOLE PROPRIETOR)
(952) 942-5170
Entity
Organization
Contact information
Practice address
9336 ENSIGN AVE S, BLOOMINGTON, MN 55438-1455
(952) 942-5170
(952) 942-6295
Mailing address
9336 ENSIGN AVE S, BLOOMINGTON, MN 55438-1455
(952) 942-5170
(952) 942-6295
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
1447
MN
Other
Enumeration date
06/04/2007
Last updated
06/23/2008
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