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NPI Code Detail

MEDICARE: DR. MICHELLE LYNNE NORTON D.C.

MEDICARE: DR. MICHELLE LYNNE NORTON D.C.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1111N00000XChiropractor5122MN

General Provider Information

NPI Number : 1467629576
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MICHELLE LYNNE NORTON D.C.
Provider Business Mailing Address
First Line : 730 CLEVELAND AVE S
Second Line :
City : SAINT PAUL
State : MN
Zip : 55116-1345
Country : US
Telephone Number : 651-699-8610
Fax Number : 651-699-1207
Provider Business Practice Location Address
First Line : 730 CLEVELAND AVE S
Second Line :
City : SAINT PAUL
State : MN
Zip : 55116-1345
Country : US
Telephone Number : 651-699-8610
Fax Number : 651-699-1207
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/08/2008
Last Update Date : 07/16/2012

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