Provider Demographics
NPI:1356845853
Name:MCGRAW FAMILY CHIROPRACTIC & WELLNESS
Entity Type:Organization
Organization Name:MCGRAW FAMILY CHIROPRACTIC & WELLNESS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:TIMOTHY
Authorized Official - Last Name:MCGRAW
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:612-481-0629
Mailing Address - Street 1:14300 E BUCK HILL RD
Mailing Address - Street 2:
Mailing Address - City:BURNSVILLE
Mailing Address - State:MN
Mailing Address - Zip Code:55306-7532
Mailing Address - Country:US
Mailing Address - Phone:612-481-0629
Mailing Address - Fax:952-898-3544
Practice Address - Street 1:14300 E BUCK HILL RD
Practice Address - Street 2:
Practice Address - City:BURNSVILLE
Practice Address - State:MN
Practice Address - Zip Code:55306-5530
Practice Address - Country:US
Practice Address - Phone:612-481-0629
Practice Address - Fax:952-898-3544
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-03-20
Last Update Date:2021-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN6454111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty