Organization
FOUNDATION CHIROPRACTIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KYLE GREG SWENSON D.C. (PRESIDENT)
(320) 894-2094
Entity
Organization
Contact information
Practice address
1605 ROCK PL, SHAKOPEE, MN 55379-3605
(320) 894-2094
Mailing address
1605 ROCK PL, SHAKOPEE, MN 55379-3605
(320) 894-2094
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
6008
MN
Other
Enumeration date
01/21/2015
Last updated
01/21/2015
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