Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Lake Nicollet Clinic, PA

Organization Chiropractor · NPI 1245675511

Lake Nicollet Clinic, PA is a Chiropractor in Minneapolis, Minnesota. Licensed in Minnesota. Registered with an NPI since 2013.

Licensed in
MN
In the registry since
2013
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Partly verified

Some contact details are missing from the federal record.

One W Lake St Ste 195
Minneapolis, MN 55408-3362
Phone: (612) 259-7570
Fax: (612) 886-3427
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Chiropractor (primary) Taxonomy 111N00000X · Licence 1176 (MN)

Record details

NPI number1245675511
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Artur Guzhagin — President · (612) 259-7570
NPI enumeratedMay 1, 2013
Last updated in NPPESMay 1, 2013
Mailing addressPo Box 80808, Minneapolis, MN 55408-8808

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