Organization
SHAUN R GIFFORD D.C. P.S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHAUN RAY GIFFORD D.C. (EXECUTIVE DIRECTOR)
(952) 412-0486
Entity
Organization
Contact information
Practice address
1064 COUNTY ROAD 42 E, BURNSVILLE, MN 55337-4652
(952) 432-4252
(952) 432-4254
Mailing address
1064 COUNTY ROAD 42 E, BURNSVILLE, MN 55337-4652
(952) 432-4252
(952) 432-4254
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
DC3889
MN
Other
Enumeration date
04/15/2009
Last updated
04/15/2009
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