Organization
PLANTE CHIROPRACTIC CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES F PLANTE D.C. (OWNER/PRESIDENT)
(952) 473-3588
Entity
Organization
Contact information
Practice address
2073 W WAYZATA BLVD, SUITE 200, LONG LAKE, MN 55356-4517
(952) 473-3588
(952) 473-3588
Mailing address
PO BOX 305, LONG LAKE, MN 55356-0305
(952) 473-3588
(952) 473-3588
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
003012
MN
Other
Enumeration date
10/27/2010
Last updated
10/27/2010
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