Individual
AMY CARROLL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9325 UPLAND LN N STE 240, MAPLE GROVE, MN 55369-4486
(763) 494-9500
Mailing address
4732 BEACHSIDE RD, MOUND, MN 55364-1323
(952) 283-1009
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
1740
MN
Other
Enumeration date
03/13/2015
Last updated
03/13/2015
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