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Advanced Back Technology, P.a.
Chiropractor in Wayzata, Minnesota
NPI 1053490615

Advanced Back Technology, P.a. is a Chiropractor based in Wayzata, MN. Advanced Back Technology, P.a. practices in Wayzata, MN. The NPI Number for Advanced Back Technology, P.a. is 1053490615 and holds a License No. 1911 (Minnesota).

The current practice location address for Advanced Back Technology, P.a. is 1421 Wayzata Blvd East, Wayzata, MN and can be reached out via phone at 952-473-1663 and via fax at 952-473-9662.

Location: 1421 Wayzata Blvd East, Wayzata, MN, 55391
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1053490615
Provider Name
Advanced Back Technology, P.a.
Credential
Provider Entity Type
Organization
Address
1421 Wayzata Blvd East, Wayzata, MN, 55391
Phone Number
952-473-1663
Fax Number
952-473-9662
Provider Enumeration Date
11/03/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
097K2AD 01 MN BLUE CROSS ID NUMBER
institution
Provider Business Practice Location Address Details
Address
1421 Wayzata Blvd East
City
Wayzata
State
Minnesota
Zip
55391
Phone Number
952-473-1663
Fax Number
952-473-9662
person
Provider Business Mailing Address Details
Address
1421 Wayzata Blvd East
City
Wayzata
State
Minnesota
Zip
55391
Phone Number
952-473-1663
Fax Number
952-473-9662
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
1911 (Minnesota)
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
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