Individual
MACKENZIE ENGELSTAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
2330 CROSSTOWN BLVD NE, HAM LAKE, MN 55304-4471
(507) 382-9026
Mailing address
2330 CROSSTOWN BLVD NE, HAM LAKE, MN 55304-4471
(507) 382-9026
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
6946
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6946
STATE ISSUED
—
Enumeration date
01/03/2022
Last updated
06/28/2022
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