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Brenwyn Anne Lisa Peddycoart, DC
Chiropractor in White Bear Lake, Minnesota
NPI 1558401968

Brenwyn Anne Lisa Peddycoart is a Chiropractor based in White Bear Lake, MN. Brenwyn Anne Lisa Peddycoart practices in White Bear Lake, MN and has the professional credentials of DC. The NPI Number for Brenwyn Anne Lisa Peddycoart is 1558401968 and holds a License No. 3350 (Minnesota).

The current practice location address for Brenwyn Anne Lisa Peddycoart is 1803 Buerkle Rd, White Bear Lake, MN and can be reached out via phone at 651-770-8424 and via fax at 651-770-3170.

Location: 1803 Buerkle Rd, White Bear Lake, MN, 55110-5269
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1558401968
Provider Name
Brenwyn Anne Lisa Peddycoart
Credential
DC
Provider Entity Type
Individual
Gender
Female
Address
1803 Buerkle Rd, White Bear Lake, MN, 55110-5269
Phone Number
651-770-8424
Fax Number
651-770-3170
Provider Enumeration Date
02/07/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
11F47PE 01 BCBS
institution
Provider Business Practice Location Address Details
Address
1803 Buerkle Rd
City
White Bear Lake
State
Minnesota
Zip
55110-5269
Phone Number
651-770-8424
Fax Number
651-770-3170
person
Provider Business Mailing Address Details
Address
1803 Buerkle Rd
City
White Bear Lake
State
Minnesota
Zip
55110-5269
Phone Number
651-770-8424
Fax Number
651-770-3170
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
3350 (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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