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Organization

LYNNE M MADEJ D C P A

Active
Other names
Countryside Chiropractic
Organization subpart
No

Provider details

NPI number
Authorized official
LYNNE MARIE MADEJ D.C. (OWNER/OPERATOR)
(952) 829-0262
Entity
Organization

Contact information

Practice address
7700 W OLD SHAKOPEE RD, SUITE 120, BLOOMINGTON, MN 55438-3311
(952) 829-0262
(952) 829-0327
Mailing address
7700 W OLD SHAKOPEE RD, SUITE 120, BLOOMINGTON, MN 55438-3311
(952) 829-0262
(952) 829-0327

Taxonomy

Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
DC 5087
MN

Other

Enumeration date
05/02/2008
Last updated
03/18/2010
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