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Dehaven Chiropractic Clinic, Inc
Chiropractor in White Bear Lake, Minnesota
NPI 1851525893

Dehaven Chiropractic Clinic, Inc is a Chiropractor based in Forest Lake, MN. Dehaven Chiropractic Clinic, Inc practices in White Bear Lake, MN. The NPI Number for Dehaven Chiropractic Clinic, Inc is 1851525893 and holds a License No. 2585 (Minnesota).

The current practice location address for Dehaven Chiropractic Clinic, Inc is 4505 White Bear Pkwy Ste 2200, White Bear Lake, MN and can be reached out via phone at 651-429-3015.

Location: 4505 White Bear Pkwy Ste 2200, White Bear Lake, MN, 55025-9173
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1851525893
Provider Name
Dehaven Chiropractic Clinic, Inc
Credential
Provider Entity Type
Organization
Address
4505 White Bear Pkwy Ste 2200, White Bear Lake, MN, 55025-9173
Phone Number
651-429-3015
Fax Number
Provider Enumeration Date
05/05/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
59969-DE 01 MN BCBS
institution
Provider Business Practice Location Address Details
Address
4505 White Bear Pkwy Ste 2200
City
White Bear Lake
State
Minnesota
Zip
55110-3699
Phone Number
651-429-3015
Fax Number
person
Provider Business Mailing Address Details
Address
4505 White Bear Pkwy Ste 2200
City
White Bear Lake
State
Minnesota
Zip
55110-3699
Phone Number
651-429-3015
Fax Number
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
2585 (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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