Health Source Of Alexandria Pa

NPI 1447348453 - Chiropractor - 111N00000X

NPI Details
NPI 1447348453
Enumeration Date 10/11/2006
Last Updated 04/25/2012
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name PETER PETER
Position PRESIDENT
Phone (320) 762-1110
Fax (320) 762-2379
Practice Location
108 15TH AVE E
ALEXANDRIA MN, 56308-2510, US
Phone (320) 762-1110
Fax (320) 762-2379
Business Location
108 15TH AVE E
ALEXANDRIA MN, 56308-2510, US
Phone (320) 762-1110
Fax (320) 762-2379
Toxanomy
Taxonomy Code 111N00000X
License State Minnesota
License Number 003011
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According to our database, Health Source Of Alexandria Pa NPI is 1447348453, taxonomy code is 111N00000X and license number is 003011, license state is located at Minnesota. Health Source Of Alexandria Pa physically located at 108 15th Ave E, Alexandria MN, 56308-2510. NPI Number 1033115704 has the healthcare provider type.

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1447348453 NPI number is provided on an as is basis without warranty of any kind. 1447348453 is maintained by the National Plan & Provider Enumeration System. The contents of Health Source Of Alexandria Pa are for informational purposes only.