Organization
BACK TO BASICS CHIROPRACTIC & WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JILLIAN ROSE SKLUZACEK DC (CHIROPRACTOR)
(952) 594-4161
Entity
Organization
Contact information
Practice address
4450 NICOLLET AVE, MINNEAPOLIS, MN 55419-5035
(612) 598-8627
Mailing address
4450 NICOLLET AVE, MINNEAPOLIS, MN 55419-5035
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
08/20/2019
Last updated
08/20/2019
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