| |
3343 Saint Croix Trl S, Afton, MN 55001-7301 | |
(651) 436-4636 | |
Not Available |
Full Name | |
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Type | Facility |
Speciality | Clinic/center |
Location | 3343 Saint Croix Trl S, Afton, Minnesota |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1508018482 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 1964 (Minnesota) | Secondary |
261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Mailing Address | Practice Location Address |
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3343 Saint Croix Trl S, P.o. Box 164, Afton, MN 55001-7301 Ph: (651) 436-4636 | 3343 Saint Croix Trl S, Afton, MN 55001-7301 Ph: (651) 436-4636 |