Organization
CENTRE FOR UPPER CERVICAL CHIROPRACTIC CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARIE ROSE JOSEE GERARD D.C. (OWNER)
(651) 784-7515
Entity
Organization
Contact information
Practice address
6776 LAKE DR, SUITE 210, LINO LAKES, MN 55014-1156
(651) 784-7515
(651) 784-7313
Mailing address
6776 LAKE DR, SUITE 210, LINO LAKES, MN 55014-1156
(651) 784-7515
(651) 784-7313
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
08/13/2007
Last updated
08/13/2007
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