Individual
DR. DIANE KATHERINE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
8977 COMSTOCK LN N, MAPLE GROVE, MN 55311-1521
(763) 458-6299
Mailing address
8977 COMSTOCK LN N, MAPLE GROVE, MN 55311-1521
(763) 458-6299
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5614
MN
Other
Enumeration date
02/17/2012
Last updated
02/17/2012
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