Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NX0800X | Chiropractor Orthopedic Specialist | 4866 | MN |
NPI | 1629271978 |
---|---|
Provider Name | Dr. Andrew Garth Altman |
First Address | New Hope, MN 55427-2319 |
Second Address | New Hope, MN 55427-2319 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/06/2007 |
Last Update Date | 08/07/2007 |