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Dr. Connie Theisen
Chiropractor in Maple Grove, Minnesota
NPI 1063599892

Connie Theisen is a Chiropractor based in Rogers, MN. Connie Theisen practices in Maple Grove, MN. The NPI Number for Connie Theisen is 1063599892 and holds a License No. DC4091 (Minnesota).

The current practice location address for Connie Theisen is 9479 Garland Ave, Maple Grove, MN and can be reached out via phone at 763-494-8787. You can also correspond with Connie Theisen through the mailing address at 12748 WALTER DR, ROGERS, MN - 55374-5822 (mailing address contact number: 763-360-2405).

Location: 9479 Garland Ave, Maple Grove, MN, 55374-5822
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1063599892
Provider Name
Connie Theisen
Credential
Provider Entity Type
Individual
Gender
Female
Address
9479 Garland Ave, Maple Grove, MN, 55374-5822
Phone Number
763-494-8787
Fax Number
Provider Enumeration Date
11/01/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
078K2HE 01 MN BCBS MN
065473600 01 MN MN STATE AID
112377 01 MN HEALTH PARTNERS
44-00217 01 MN MEDICA
institution
Provider Business Practice Location Address Details
Address
9479 Garland Ave
City
Maple Grove
State
Minnesota
Zip
55311-5480
Phone Number
763-494-8787
Fax Number
person
Provider Business Mailing Address Details
Address
9479 Garland Ave
City
Maple Grove
State
Minnesota
Zip
55311-5480
Phone Number
763-494-8787
Fax Number
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
DC4091 (Minnesota)
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
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