Organization
FAMILIES' 1ST CHOICE CHIROPRACTIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KORI MORTENSON (CEO)
(952) 445-9313
Entity
Organization
Contact information
Practice address
500 MARSCHALL RD STE 130, SHAKOPEE, MN 55379-2693
(952) 445-9313
Mailing address
500 MARSCHALL RD STE 130, SHAKOPEE, MN 55379-2693
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3737
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09S82FI
BLUE CROSS BLUE SHIELD
—
Enumeration date
01/31/2007
Last updated
07/01/2008
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