Organization
EVOLVE CHIROPRACTIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALEC NASSIRZADEH DC (OWNER)
(763) 330-1100
Entity
Organization
Contact information
Practice address
11820 ULYSSES ST NE, SUITE 140, BLAINE, MN 55434
(763) 330-1100
Mailing address
290 MARKET ST UNIT 611, MINNEAPOLIS, MN 55405-1685
(763) 330-1100
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
08/16/2021
Last updated
09/01/2021
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