Shane Stuart Emmons D.C.

NPI 1154631083 - Chiropractor - 111N00000X

NPI Details
NPI 1154631083
Gender Male
Enumeration Date 10/13/2010
Last Updated 08/30/2011
Entity Type Individual
Active Over 6 years ago
Practice Location
825 HENNEPIN AVE
SUITE 216
MINNEAPOLIS MN, 55402-1802, US
Phone (612) 333-9144
Fax (612) 333-9144
Business Location
825 HENNEPIN AVE
SUITE 216
MINNEAPOLIS MN, 55402-1802, US
Phone (612) 333-9144
Fax (612) 333-9144
Toxanomy
Taxonomy Code 111N00000X
License State Minnesota
License Number 5415
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According to our database, Dr. Shane Stuart Emmons D.C. NPI is 1154631083, taxonomy code is 111N00000X and license number is 5415, license state is located at Minnesota. Shane Stuart Emmons D.C. physically located at 825 Hennepin Ave, Minneapolis MN, 55402-1802. NPI Number Shane Stuart Emmons D.C. has the Individual type.

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1154631083 NPI number is provided on an as is basis without warranty of any kind. 1154631083 is maintained by the National Plan & Provider Enumeration System. The contents of Shane Stuart Emmons D.C. are for informational purposes only.