Plymouth Grove Chiropractic, P.a.

NPI 1073569927 - Chiropractor - 111N00000X

NPI Details
NPI 1073569927
Enumeration Date 05/25/2006
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name VIVI-ANN RAE VIVI-ANN
Position PRESIDENT
Phone (763) 559-9236
Fax (763) 559-7486
Practice Location
3900 VINEWOOD LN N
SUITE 19
PLYMOUTH MN, 55441-1155, US
Phone (763) 559-9236
Fax (763) 559-7486
Business Location
3900 VINEWOOD LN N
SUITE 19
PLYMOUTH MN, 55441-1155, US
Phone (763) 559-9236
Fax (763) 559-7486
Toxanomy
Taxonomy Code 111N00000X
License State Minnesota
License Number 280
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According to our database, Plymouth Grove Chiropractic, P.a. NPI is 1073569927, taxonomy code is 111N00000X and license number is 280, license state is located at Minnesota. Plymouth Grove Chiropractic, P.a. physically located at 3900 Vinewood Ln N, Plymouth MN, 55441-1155. NPI Number 1033115704 has the healthcare provider type.

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1073569927 NPI number is provided on an as is basis without warranty of any kind. 1073569927 is maintained by the National Plan & Provider Enumeration System. The contents of Plymouth Grove Chiropractic, P.a. are for informational purposes only.