Wellnessone Of Nisswa

NPI 1578646360 - Chiropractor - 111N00000X

NPI Details
NPI 1578646360
Enumeration Date 10/23/2006
Last Updated 07/24/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name DERREK DERREK
Position OWNER
Phone (218) 963-3311
Fax (218) 963-3313
Practice Location
5482 COUNTY RD. 18
NISSWA MN, 56468, US
Phone (218) 963-3311
Fax (218) 963-3313
Business Location
PO BOX 379
NISSWA MN, 56468-0379, US
Phone (218) 963-3311
Fax (218) 963-3313
Toxanomy
Taxonomy Code 111N00000X
License State
License Number
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According to our database, Wellnessone Of Nisswa NPI is 1578646360, taxonomy code is 111N00000X Wellnessone Of Nisswa physically located at 5482 County Rd. 18, Nisswa MN, 56468. NPI Number 1033115704 has the healthcare provider type.

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1578646360 NPI number is provided on an as is basis without warranty of any kind. 1578646360 is maintained by the National Plan & Provider Enumeration System. The contents of Wellnessone Of Nisswa are for informational purposes only.