Individual
MELISSA E MACDONALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
2501 W 84TH ST, BLOOMINGTON, MN 55431-1602
(952) 888-4777
(952) 886-7561
Mailing address
2501 W 84TH ST, BLOOMINGTON, MN 55431-1602
(952) 888-4777
(952) 886-7561
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
6192
MN
146N00000X
Basic Emergency Medical Technician
985972
MN
Other
Enumeration date
09/27/2016
Last updated
09/27/2016
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