Healthcare Provider Details

I. General information

NPI: 1225449820
Provider Name (Legal Business Name): STROH CHIROPRACTIC, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/16/2014
Last Update Date: 10/06/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

646 E RIVER RD SUITE 2
ANOKA MN
55303-1884
US

IV. Provider business mailing address

646 E RIVER RD SUITE 2
ANOKA MN
55303-1884
US

V. Phone/Fax

Practice location:
  • Phone: 763-421-1410
  • Fax:
Mailing address:
  • Phone: 763-421-1410
  • Fax: 763-421-1411

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number5801
License Number StateMN

VIII. Authorized Official

Name: DR. ERIC STROH
Title or Position: PRESIDENT/DOCTOR OF CHIROPRACTIC
Credential: D.C.
Phone: 763-381-1367