Organization
PRIOR LAKE NATURAL HEALTH CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TAMMY TREMMEL NYHUS D.C., D.I.C.C.P. (COO)
(952) 226-1140
Entity
Organization
Contact information
Practice address
16228 MAIN AVE SE, SUITE 105, PRIOR LAKE, MN 55372-1770
(952) 226-1140
(952) 226-1141
Mailing address
16228 MAIN AVE SE, SUITE 105, PRIOR LAKE, MN 55372-1770
(952) 226-1140
(952) 226-1141
Taxonomy
Speciality
Code
Description
License number
State
111NN1001X
Nutrition Chiropractor
Primary
DC3878
MN
Other
Enumeration date
08/09/2007
Last updated
08/09/2007
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