Organization
JO G THEISEN DC, PA
Active
Other names
Family Chiropractic Health Service
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT R THEISEN (CLINIC DIRECTOR)
(763) 424-7750
Entity
Organization
Contact information
Practice address
8465 W BROADWAY AVE, BROOKLYN PARK, MN 55445-2266
(763) 424-7750
(763) 424-3444
Mailing address
8465 W BROADWAY AVE, BROOKLYN PARK, MN 55445-2266
(763) 424-7750
(763) 424-3444
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2599
MN
Other
Enumeration date
10/23/2006
Last updated
01/12/2022
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