Individual
DR. AMY MICHELLE WILLCOCKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
1850 W WAYZATA BLVD, LONG LAKE, MN 55356-9491
(952) 476-2260
(952) 476-4457
Mailing address
1850 W WAYZATA BLVD, P.O. BOX 181, LONG LAKE, MN 55356-9491
(952) 476-2260
(952) 476-4457
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
3845
MN
Other
Enumeration date
02/28/2007
Last updated
07/08/2007
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