Organization
TC CORE SPINE AND SPORT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GRANT MICHAEL NOBLES DC (OWNER)
(952) 922-9066
Entity
Organization
Contact information
Practice address
5250 W 74TH ST STE 8, EDINA, MN 55439-2229
(952) 922-9066
(952) 922-9663
Mailing address
5250 W 74TH ST STE 8, EDINA, MN 55439-2229
(952) 922-9066
(952) 922-9663
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1427392570
—
MN
Enumeration date
02/26/2019
Last updated
02/26/2019
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