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Individual

DR. ADAM MARK ZACHMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
104 NE 3RD ST, STE 220, GRAND RAPIDS, MN 55744-2869
(763) 670-3379
Mailing address
104 NE 3RD ST, STE 220, GRAND RAPIDS, MN 55744-2869
(763) 670-3379

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5622
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
350005030
PTAN
MN
Enumeration date
02/16/2012
Last updated
04/24/2013
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