| Midtown Chiropractic | |
|
111 Central Ave N Suite 2 Faribault MN 55021-5252 | |
| (507) 384-3588 | |
| Not Available |
| Full Name | Midtown Chiropractic |
|---|---|
| Speciality | Clinic/center |
| Location | 111 Central Ave N, Faribault, Minnesota |
| Authorized Official Name and Position | John Robert Lundstrom (PRESIDENT) |
| Authorized Official Contact | 6512351403 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Midtown Chiropractic 111 Central Ave N Suite 2 Faribault MN 55021-5252 Ph: (507) 384-3588 | Midtown Chiropractic 111 Central Ave N Suite 2 Faribault MN 55021-5252 Ph: (507) 384-3588 |
| NPI Number | 1073879466 |
|---|---|
| Provider Enumeration Date | 04/10/2012 |
| Last Update Date | 04/10/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073879466 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 5646 (Minnesota) | Primary |
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