Organization
SHANAHAN CHIROPRACTIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. REESE ROBERT SHANAHAN D.C (OWNER)
(651) 491-0111
Entity
Organization
Contact information
Practice address
16795 COUNTY ROAD 24, SUITE 120, PLYMOUTH, MN 55447-1201
(651) 491-0111
Mailing address
16795 COUNTY ROAD 24, SUITE 120, PLYMOUTH, MN 55447-1201
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5329
MN
Other
Enumeration date
01/11/2010
Last updated
03/25/2010
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