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Individual

ADAM SHADICK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
9325 UPLAND LN N STE 230, MAPLE GROVE, MN 55369-4450
(763) 315-0466
(763) 315-0884
Mailing address
9325 UPLAND LN N STE 230, MAPLE GROVE, MN 55369-4450
(763) 315-0466
(763) 315-0884

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5899
MN

Other

Enumeration date
02/10/2014
Last updated
02/10/2014
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