Provider Demographics
NPI:1467629576
Name:NORTON, MICHELLE LYNNE (DC)
Entity Type:Individual
Prefix:DR
First Name:MICHELLE
Middle Name:LYNNE
Last Name:NORTON
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:730 CLEVELAND AVE S
Mailing Address - Street 2:
Mailing Address - City:SAINT PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55116-1345
Mailing Address - Country:US
Mailing Address - Phone:651-699-8610
Mailing Address - Fax:651-699-1207
Practice Address - Street 1:730 CLEVELAND AVE S
Practice Address - Street 2:
Practice Address - City:SAINT PAUL
Practice Address - State:MN
Practice Address - Zip Code:55116-1345
Practice Address - Country:US
Practice Address - Phone:651-699-8610
Practice Address - Fax:651-699-1207
Is Sole Proprietor?:No
Enumeration Date:2008-05-08
Last Update Date:2012-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN5122111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor