Provider Demographics
NPI:1710545082
Name:PFAFF, AARON
Entity Type:Individual
Prefix:
First Name:AARON
Middle Name:
Last Name:PFAFF
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6001 EGAN DR STE 120
Mailing Address - Street 2:
Mailing Address - City:SAVAGE
Mailing Address - State:MN
Mailing Address - Zip Code:55378-4910
Mailing Address - Country:US
Mailing Address - Phone:952-440-4553
Mailing Address - Fax:
Practice Address - Street 1:6001 EGAN DR STE 120
Practice Address - Street 2:
Practice Address - City:SAVAGE
Practice Address - State:MN
Practice Address - Zip Code:55378-4910
Practice Address - Country:US
Practice Address - Phone:952-440-4553
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-06-03
Last Update Date:2019-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN6635111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor