NPI 1013140599

Health Source Shorewood

Organisation Chiropractor Excelsior, MN

Practice location

Address: 6140 Lake Linden Dr Suite 100, Excelsior, MN 55331-2954
Phone: (952) 474-0886

Authorised official

Name: Howard Fidler
Title: President
Phone: (952) 474-0886

Registered specialties

Chiropractor Primary

Chiropractic Providers Taxonomy 111N00000X Licence 4856 (MN)

Other Chiropractor providers in Minnesota →

Registry record

NPI: 1013140599
Entity type: Organization
NPI issued: 31 Aug 2009
Record last updated: 31 Aug 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.