Organization
SHINGLE CREEK MEDICAL GROUP, LLC
Active
Other names
Disc Centers of America Brooklyn Center
Organization subpart
No
Provider details
NPI number
Authorized official
JASON JOHN STADTHER DC (OWNER)
(763) 244-8021
Entity
Organization
Contact information
Practice address
2781 FREEWAY BLVD, SUITE 160, BROOKLYN CENTER, MN 55430-1753
(763) 244-8020
Mailing address
2781 FREEWAY BLVD STE 160, BROOKLYN CENTER, MN 55430-1765
(763) 244-8022
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
01/14/2017
Last updated
09/11/2018
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