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Deephaven Chiropractic, P.a.
Chiropractor in Wayzata, Minnesota
NPI 1790882785

Deephaven Chiropractic, P.a. is a Chiropractor based in Wayzata, MN. Deephaven Chiropractic, P.a. practices in Wayzata, MN. The NPI Number for Deephaven Chiropractic, P.a. is 1790882785 and holds a License No. 3658 (Minnesota).

The current practice location address for Deephaven Chiropractic, P.a. is 18281 Minnetonka Blvd, Wayzata, MN and can be reached out via phone at 952-475-0079 and via fax at 952-475-1030.

Location: 18281 Minnetonka Blvd, Wayzata, MN, 55391-3345
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1790882785
Provider Name
Deephaven Chiropractic, P.a.
Credential
Provider Entity Type
Organization
Address
18281 Minnetonka Blvd, Wayzata, MN, 55391-3345
Phone Number
952-475-0079
Fax Number
952-475-1030
Provider Enumeration Date
09/20/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
U82339 01 MN METROPOLITAN HEALTH PLAN
60B90DE 01 MN BCBS
institution
Provider Business Practice Location Address Details
Address
18281 Minnetonka Blvd
City
Wayzata
State
Minnesota
Zip
55391-3345
Phone Number
952-475-0079
Fax Number
952-475-1030
person
Provider Business Mailing Address Details
Address
18281 Minnetonka Blvd
City
Wayzata
State
Minnesota
Zip
55391-3345
Phone Number
952-475-0079
Fax Number
952-475-1030
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
3658 (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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