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Wildwood Chiropractic Center Pa
Chiropractor in White Bear Lake, Minnesota
NPI 1306827118

Wildwood Chiropractic Center Pa is a Chiropractor based in White Bear Lake, MN. Wildwood Chiropractic Center Pa practices in White Bear Lake, MN. The NPI Number for Wildwood Chiropractic Center Pa is 1306827118 and holds a License No. (Minnesota).

The current practice location address for Wildwood Chiropractic Center Pa is 935 Wildwood Rd, White Bear Lake, MN and can be reached out via phone at 651-779-4263 and via fax at 651-779-4274.

Location: 935 Wildwood Rd, White Bear Lake, MN, 55115-1847
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1306827118
Provider Name
Wildwood Chiropractic Center Pa
Credential
Provider Entity Type
Organization
Address
935 Wildwood Rd, White Bear Lake, MN, 55115-1847
Phone Number
651-779-4263
Fax Number
651-779-4274
Provider Enumeration Date
11/09/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
4261 01 MN JOHN MACK LICENSE
047 828 800 05 MN
3150 01 MN SCOTT DEPAULIS LICENSE
354 278 500 05 MN
367 817 200 05 MN
549 027 800 05 MN
2329 01 MN PATRICK G NAPOLI LICENSE
3051 01 MN DEAN JOY LICENSE
institution
Provider Business Practice Location Address Details
Address
935 Wildwood Rd
City
White Bear Lake
State
Minnesota
Zip
55115-1847
Phone Number
651-779-4263
Fax Number
651-779-4274
person
Provider Business Mailing Address Details
Address
935 Wildwood Rd
City
White Bear Lake
State
Minnesota
Zip
55115-1847
Phone Number
651-779-4263
Fax Number
651-779-4274
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
(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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