Organization
DUE NORTH WELLNESS CENTER PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL FOREST DC, CLS (OWNER)
(651) 323-8954
Entity
Organization
Contact information
Practice address
1820 COON RAPIDS BLVD NW, COON RAPIDS, MN 55433-4755
(651) 323-8954
Mailing address
1820 COON RAPIDS BLVD NW, COON RAPIDS, MN 55433-4755
(651) 323-8954
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
6060
MN
Other
Enumeration date
09/09/2015
Last updated
09/09/2015
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