Organization
CHAMPLIN FAMILY CHIROPRACTIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID LELAND FANDRICH D.C. (PRESIDENT)
(763) 427-5545
Entity
Organization
Contact information
Practice address
11452 JEFFERSON CT, CHAMPLIN, MN 55316-2737
(763) 427-5545
(763) 427-5565
Mailing address
11452 JEFFERSON CT, CHAMPLIN, MN 55316-2737
(763) 427-5545
(763) 427-5565
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4911
MN
Other
Enumeration date
01/08/2009
Last updated
04/23/2009
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