| Lundstrom Chiropractic Centers, Inc. | |
|
4801 Highway 61 N Suite 100 White Bear Lake MN 55110-2737 | |
| (651) 429-6401 | |
| (651) 429-8930 |
| Full Name | Lundstrom Chiropractic Centers, Inc. |
|---|---|
| Speciality | Clinic/center |
| Location | 4801 Highway 61 N, White Bear Lake, Minnesota |
| Authorized Official Name and Position | John Lundstrom (PRESIDENT) |
| Authorized Official Contact | 6514296401 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lundstrom Chiropractic Centers, Inc. 4801 Highway 61 N Suite 100 White Bear Lake MN 55110-2737 Ph: (651) 429-6401 | Lundstrom Chiropractic Centers, Inc. 4801 Highway 61 N Suite 100 White Bear Lake MN 55110-2737 Ph: (651) 429-6401 |
| NPI Number | 1881839223 |
|---|---|
| Provider Enumeration Date | 12/15/2008 |
| Last Update Date | 12/15/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881839223 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 2261 (Minnesota) | Primary |
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