Most Relevant Information
Provider Data
| NPI Number: | 1003686965 |
| Provider Name: | MENA SCANLON DC |
| Entity Type: | Individual |
| Taxonomy Code: | 111N00000X |
| Specialty: | Chiropractor |
| License Number: | 7177 |
Most Important Dates
| Enumeration Date: | 01/03/2024 |
| Last Updated: | 01/03/2024 |
Provider Practice Location
13114 GRAND AVE
BURNSVILLE
MN
553372609
Practice Location Phone/Fax
| Phone: | 6057319152 |
| Fax: |
Provider Mailing Location
13114 GRAND AVE
BURNSVILLE
MN
553372609
Provider Mailing Phone/Fax
| Phone: | 6057319152 |
| Fax: |