Organization
ADVANTAGE CHIROPRACTIC AND WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CULLEN FAHEY (OWNER)
(815) 245-1018
Entity
Organization
Contact information
Practice address
16197 MAIN AVE SE, PRIOR LAKE, MN 55372-1704
(815) 245-1018
Mailing address
16197 MAIN AVE SE, PRIOR LAKE, MN 55372-1704
(815) 245-1018
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
11/29/2017
Last updated
11/29/2017
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