institution
Birch Lake Chiropractic Clinic, Llc
Chiropractor in White Bear Lake, Minnesota
NPI 1255407136

Birch Lake Chiropractic Clinic, Llc is a Chiropractor based in White Bear Lake, MN. Birch Lake Chiropractic Clinic, Llc practices in White Bear Lake, MN. The NPI Number for Birch Lake Chiropractic Clinic, Llc is 1255407136 and holds a License No. 751 (Minnesota).

The current practice location address for Birch Lake Chiropractic Clinic, Llc is 4635 White Bear Pkwy, White Bear Lake, MN and can be reached out via phone at 651-429-5329 and via fax at 651-429-2759.

Location: 4635 White Bear Pkwy, White Bear Lake, MN, 55110-3300
institution
Provider Profile Details
NPI Number
1255407136
Provider Name
Birch Lake Chiropractic Clinic, Llc
Credential
Provider Entity Type
Organization
Address
4635 White Bear Pkwy, White Bear Lake, MN, 55110-3300
Phone Number
651-429-5329
Fax Number
651-429-2759
Provider Enumeration Date
11/24/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
273GOBI 01 BCBS - CLINIC #
231600 01 ACN
6763511-00 01 MHCP
institution
Provider Business Practice Location Address Details
Address
4635 White Bear Pkwy
City
State
Zip
55110-3300
Phone Number
651-429-5329
Fax Number
651-429-2759
person
Provider Business Mailing Address Details
Address
4635 White Bear Pkwy
City
State
Zip
55110-3300
Phone Number
651-429-5329
Fax Number
651-429-2759
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
License No.
751 (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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