Individual
SHANNON MCCARTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
4760 BANNING AVE STE 218, WHITE BEAR LAKE, MN 55110-3218
(651) 762-2985
Mailing address
4760 BANNING AVE STE 218, WHITE BEAR LAKE, MN 55110-3218
(651) 762-2985
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
6414
MN
Other
Enumeration date
04/19/2018
Last updated
04/19/2018
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