Seth Shannon Richter DC

NPI 1174724629 - Chiropractor - 111N00000X

NPI Details
NPI 1174724629
Gender Male
Enumeration Date 05/31/2007
Last Updated 01/09/2008
Entity Type Individual
Active Over 9 years ago
Practice Location
20965 S DIAMOND LAKE RD
SUITE 108
ROGERS MN, 55374-4820, US
Phone (701) 471-7338
Fax
Business Location
20965 SOUTH DIAMOND LAKE RD
SUITE 108
ROGERS MN, 55374, US
Phone (701) 471-7338
Fax
Toxanomy
Taxonomy Code 111N00000X
License State Minnesota
License Number 4941
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According to our database, Dr. Seth Shannon Richter DC NPI is 1174724629, taxonomy code is 111N00000X and license number is 4941, license state is located at Minnesota. Seth Shannon Richter DC physically located at 20965 S Diamond Lake Rd, Rogers MN, 55374-4820. NPI Number Seth Shannon Richter DC has the Individual type.

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1174724629 NPI number is provided on an as is basis without warranty of any kind. 1174724629 is maintained by the National Plan & Provider Enumeration System. The contents of Seth Shannon Richter DC are for informational purposes only.