Individual provider · Type 1 NPI

Ethan Lee Skog, DC

Chiropractor · New Hope, MN

NPI number 1811486459 Active

Practice location

4900 Highway 169 N Ste 301
New Hope, MN 55428-4019

Call (763) 496-7871 Map

Specialties and licenses

TaxonomyCodeLicense
Chiropractor Primary 111N00000X6473 (MN)

Chiropractor: 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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About NPI 1811486459

Ethan Lee Skog, DC's National Provider Identifier is 1811486459, issued on May 9, 2018. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in New Hope, MN. The record was last updated on Jan 20, 2020.