Organization
CRYSTAL-NEW HOPE CHIROPRACTIC CLINIC P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARTIN VON IDERSTINE DC (OWNER)
(763) 533-6775
Entity
Organization
Contact information
Practice address
6014 SHINGLE CREEK PKWY, BROOKLYN CENTER, MN 55430-2316
(763) 533-6775
Mailing address
6014 SHINGLE CREEK PKWY, BROOKLYN CENTER, MN 55430-2316
(763) 533-6775
Taxonomy
Speciality
Code
Description
License number
State
111NX0800X
Orthopedic Chiropractor
Primary
1581
MN
Other
Enumeration date
11/09/2006
Last updated
01/04/2010
Update your record
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