Organization · Type 2 NPI

Great Lakes Chiropractic of St. Michael PLLC Ltd

Chiropractor · St. Michael, MN

NPI number 1902308901 Active

Practice location

116 Central Ave E
St. Michael, MN 55376

Specialties and licenses

Taxonomy	Code	License
Chiropractor Primary	111N00000X	None listed

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.

Another provider at this address

Kimberly Ann Collins, DCChiropractor St. Michael, MN NPI 1649359027

Other chiropractor providers in St. Michael

See all in St. Michael →

NPI record

NPI: 1902308901
Entity type: Organization (Type 2)
Issued: Mar 6, 2018
Last updated: May 29, 2018
Status: Active

Other names

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Great Lakes Chiropractic · doing business as
Great Lakes Chiropractic · doing business as

Authorized official

Dr. Kimberly Martin, DC
Chiropractor/owner
(763) 515-6650

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1902308901

Great Lakes Chiropractic of St. Michael PLLC Ltd's National Provider Identifier is 1902308901, issued on Mar 6, 2018. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in St. Michael, MN. The record was last updated on May 29, 2018.