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Organization

DISCOVER LIFE CHIROPRACTIC, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MATHIAS PAMER D.C. (PRESIDENT)
(419) 529-2706
Entity
Organization

Contact information

Practice address
4820 W 77TH ST, SUITE 130, EDINA, MN 55435-4815
(952) 426-3554
Mailing address
4820 W 77TH ST, SUITE 130, EDINA, MN 55435-4815

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4968
MN

Other

Enumeration date
03/14/2012
Last updated
03/14/2012
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