Individual
DR. JOSEPH C COSTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
6446 XERXES AV S, EDINA, MN 55423-1039
(952) 922-1175
(952) 922-9539
Mailing address
6446 XERXES AV S, EDINA, MN 55423-1039
(952) 922-1175
(952) 922-9539
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2208
MN
Other
Enumeration date
04/11/2007
Last updated
07/08/2007
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