Organization
BODYWISE CHIROPRACTIC CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL GERALD MOORE D.C. (MEMBER)
(763) 441-7788
Entity
Organization
Contact information
Practice address
19332 HIGHWAY 169, ELK RIVER, MN 55330-4645
(763) 441-7788
(763) 441-8818
Mailing address
19332 HIGHWAY 169, ELK RIVER, MN 55330-4645
(763) 441-7788
(763) 441-8818
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
003531
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
421027100
—
MN
Enumeration date
03/14/2007
Last updated
08/22/2020
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