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PHILLIP M SKOW D.C

>> Chiropractor >> Chiropractic Providers

Registrant NPI Number: 1538279070

Individual Registrant:
 PHILLIP M SKOW D.C
Gender: M
Sole Proprietor

Location and contact information for practice:
304 10TH ST N  MOUNTAIN LAKE, MN 56159-1591 US
Tel: 507-427-3878  Fax: 507-427-3531

Contact information for business:
70351 N LONG LAKE DR  SAINT JAMES, MN 56081-4484 US
Tel: 507-375-1353  Fax: --

Registration Information:
NPI: 1538279070
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y111N00000XChiropractic Providers
Chiropractor
MN002683

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
555528100MN05




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