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Eagle Creek Wellness Center Llc
Chiropractor in Prior Lake, Minnesota
NPI 1366631244

Eagle Creek Wellness Center Llc is a Chiropractor based in Prior Lake, MN. Eagle Creek Wellness Center Llc practices in Prior Lake, MN. The NPI Number for Eagle Creek Wellness Center Llc is 1366631244 and holds a License No. DC3496 (Minnesota).

The current practice location address for Eagle Creek Wellness Center Llc is 14180 Commerce Ave Ne, Prior Lake, MN and can be reached out via phone at 952-447-3395 and via fax at 952-447-3396.

Location: 14180 Commerce Ave Ne, Prior Lake, MN, 55372-1483
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1366631244
Provider Name
Eagle Creek Wellness Center Llc
Credential
Provider Entity Type
Organization
Address
14180 Commerce Ave Ne, Prior Lake, MN, 55372-1483
Phone Number
952-447-3395
Fax Number
952-447-3396
Provider Enumeration Date
10/17/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
271223700 05 MN
747637000 05 MN
institution
Provider Business Practice Location Address Details
Address
14180 Commerce Ave Ne
City
Prior Lake
State
Minnesota
Zip
55372-1483
Phone Number
952-447-3395
Fax Number
952-447-3396
person
Provider Business Mailing Address Details
Address
14180 Commerce Ave Ne
City
Prior Lake
State
Minnesota
Zip
55372-1483
Phone Number
952-447-3395
Fax Number
952-447-3396
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
DC3496 (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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