Organization
OAKWINDS CLINIC OF CHIROPRACTIC, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. POUA THAO D.C. (PRESIDENT)
(651) 276-8014
Entity
Organization
Contact information
Practice address
968 INWOOD AVE N, OAKDALE, MN 55128-6625
(651) 578-8588
Mailing address
6798 HADLEY AVE S, COTTAGE GROVE, MN 55016-1073
(651) 276-8014
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5474
MN
Other
Enumeration date
01/19/2011
Last updated
01/19/2011
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