Individual
MARIA E AAGESEN-REZNECHECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
7245 UNIVERSITY AVE NE, FRIDLEY, MN 55432-3134
(763) 331-1721
Mailing address
7245 UNIVERSITY AVE NE, FRIDLEY, MN 55432-3134
(763) 331-1721
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2530
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
350000631
—
MN
Enumeration date
07/07/2006
Last updated
03/20/2018
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