Organization
MCINTYRE CHIROPRACTIC PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JORDAN J MCINTYRE DC (CHIROPRACTOR)
(218) 230-4711
Entity
Organization
Contact information
Practice address
2600 DEMERS AVE STE 110, GRAND FORKS, ND 58201-4100
(218) 773-2945
(218) 773-3015
Mailing address
2910 WALNUT ST, GRAND FORKS, ND 58201-7482
(218) 230-4711
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
963
ND
Other
Enumeration date
02/05/2014
Last updated
02/09/2014
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