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Dr. Brent Edwin Tieri, DC
Chiropractor in Maple Grove, Minnesota
NPI 1902116411

Brent Edwin Tieri is a Chiropractor based in Maple Grove, MN. Brent Edwin Tieri practices in Maple Grove, MN and has the professional credentials of DC. The NPI Number for Brent Edwin Tieri is 1902116411 and holds a License No. 5351 (Minnesota).

The current practice location address for Brent Edwin Tieri is 13324 Bass Lake Rd, Maple Grove, MN and can be reached out via phone at 763-568-7869 and via fax at 763-568-7872.

Location: 13324 Bass Lake Rd, Maple Grove, MN, 55311-4540
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1902116411
Provider Name
Brent Edwin Tieri
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
13324 Bass Lake Rd, Maple Grove, MN, 55311-4540
Phone Number
763-568-7869
Fax Number
763-568-7872
Provider Enumeration Date
10/18/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
13324 Bass Lake Rd
City
Maple Grove
State
Minnesota
Zip
55311-4540
Phone Number
763-568-7869
Fax Number
763-568-7872
person
Provider Business Mailing Address Details
Address
13324 Bass Lake Rd
City
Maple Grove
State
Minnesota
Zip
55311-4540
Phone Number
763-568-7869
Fax Number
763-568-7872
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
5351 (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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