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Healthsource Of White Bear Lake, Pllc
Chiropractor in White Bear Lake, Minnesota
NPI 1073767372

Healthsource Of White Bear Lake, Pllc is a Chiropractor based in White Bear Lake, MN. Healthsource Of White Bear Lake, Pllc practices in White Bear Lake, MN. The NPI Number for Healthsource Of White Bear Lake, Pllc is 1073767372 and holds a License No. 5114 (Minnesota).

The current practice location address for Healthsource Of White Bear Lake, Pllc is 4801 Highway 61 N, White Bear Lake, MN and can be reached out via phone at 651-762-5433 and via fax at 651-762-7504.

Location: 4801 Highway 61 N, White Bear Lake, MN, 55110-2737
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1073767372
Provider Name
Healthsource Of White Bear Lake, Pllc
Credential
Provider Entity Type
Organization
Address
4801 Highway 61 N, White Bear Lake, MN, 55110-2737
Phone Number
651-762-5433
Fax Number
651-762-7504
Provider Enumeration Date
11/13/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4801 Highway 61 N
City
White Bear Lake
State
Minnesota
Zip
55110-2737
Phone Number
651-762-5433
Fax Number
651-762-7504
person
Provider Business Mailing Address Details
Address
4801 Highway 61 N
City
White Bear Lake
State
Minnesota
Zip
55110-2737
Phone Number
651-762-5433
Fax Number
651-762-7504
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
5114 (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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