INTERSTATE CHIROPRACTIC, LLC
Organization (NPI-2)
Active
Chiropractor
Provider Information
- NPI Number
1598912818- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 11276 210 ST W STE 104, LAKEVILLE, MN, 55044
- Phone
- (952) 469-3443
- Fax
- (952) 469-3473
Specialties & Taxonomies
Chiropractor
Primary License: MN #4367