Organization
NORTHSTAR CHIROPRACTIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SANDRA M SANDVIK LMT (OFFICE MANAGER/LMT)
(907) 357-4111
Entity
Organization
Contact information
Practice address
1700 E BOGARD RD, BUILDING B, SUITE 200, WASILLA, AK 99654-6563
(907) 357-4111
(907) 357-4199
Mailing address
1700 E BOGARD RD, BUILDING B, SUITE 200, WASILLA, AK 99654-6563
(907) 357-4111
(907) 357-4199
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
360
AK
Other
Enumeration date
12/15/2011
Last updated
12/15/2011
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