NPI 1447630223

South Lake Chiropractic PLLC

Organisation Chiropractor Excelsior, MN

Practice location

Address: 24000 Highway 7 Suite 215, Excelsior, MN 55331-2939
Phone: (952) 474-2395
Fax: (952) 401-1690

Authorised official

Name: Michael Isaacson
Title: Ceo
Phone: (952) 474-2395

Registered specialties

Chiropractor Primary

Chiropractic Providers Taxonomy 111N00000X Licence 3950998 (MN)

Other Chiropractor providers in Minnesota →

Registry record

NPI: 1447630223
Entity type: Organization
NPI issued: 5 Jun 2015
Record last updated: 5 Jun 2015

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.