Health Source Shorewood

NPI 1013140599 - Chiropractor - 111N00000X

NPI Details
NPI 1013140599
Enumeration Date 08/31/2009
Last Updated 08/31/2009
Entity Type Healthcare Provider
Active Over 7 years ago
Authorized Information
Name HOWARD HOWARD
Position PRESIDENT
Phone (952) 474-0886
Fax
Practice Location
6140 LAKE LINDEN DR
SUITE 100
EXCELSIOR MN, 55331-2954, US
Phone (952) 474-0886
Fax
Business Location
6140 LAKE LINDEN DR
SUITE 100
EXCELSIOR MN, 55331-2954, US
Phone (952) 474-0886
Fax
Toxanomy
Taxonomy Code 111N00000X
License State Minnesota
License Number 4856
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According to our database, Health Source Shorewood NPI is 1013140599, taxonomy code is 111N00000X and license number is 4856, license state is located at Minnesota. Health Source Shorewood physically located at 6140 Lake Linden Dr, Excelsior MN, 55331-2954. NPI Number 1033115704 has the healthcare provider type.

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1013140599 NPI number is provided on an as is basis without warranty of any kind. 1013140599 is maintained by the National Plan & Provider Enumeration System. The contents of Health Source Shorewood are for informational purposes only.