| Midtown Chiropractic | |
|
4801 Hwy 61 #100 White Bear Lake MN 55110 | |
| (651) 429-6401 | |
| (651) 429-8930 |
| Full Name | Midtown Chiropractic |
|---|---|
| Speciality | Clinic/center |
| Location | 4801 Hwy 61, White Bear Lake, Minnesota |
| Authorized Official Name and Position | John Lundstrom (PRESIDENT/CEO) |
| Authorized Official Contact | 6512351403 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Midtown Chiropractic 4801 Hwy 61 #100 White Bear Lake MN 55110 Ph: (651) 429-6401 | Midtown Chiropractic 4801 Hwy 61 #100 White Bear Lake MN 55110 Ph: (651) 429-6401 |
| NPI Number | 1184939654 |
|---|---|
| Provider Enumeration Date | 08/09/2010 |
| Last Update Date | 08/09/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184939654 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 2261 (Minnesota) | Primary |
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