Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111N00000X | Chiropractor | 4753 | MN |
NPI | 1003979865 |
---|---|
Provider Name | Dr. Christine Rose Schlenker |
First Address | Milaca, MN 56353-1171 |
Second Address | Milaca, MN 56353-1171 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 19/12/2006 |
Last Update Date | 08/07/2007 |