Russell Richard Heurung D.C.

NPI 1699712083 - Chiropractor - 111N00000X

NPI Details
NPI 1699712083
Gender Male
Enumeration Date 06/02/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
2186 3RD ST
SUITE 104
WHITE BEAR LAKE MN, 55110-3263, US
Phone (651) 429-1447
Fax (651) 429-5008
Business Location
2186 3RD ST
SUITE 104
WHITE BEAR LAKE MN, 55110-3263, US
Phone (651) 429-1447
Fax (651) 429-5008
Toxanomy
Taxonomy Code 111N00000X
License State Minnesota
License Number 3282
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According to our database, Russell Richard Heurung D.C. NPI is 1699712083, taxonomy code is 111N00000X and license number is 3282, license state is located at Minnesota. Russell Richard Heurung D.C. physically located at 2186 3rd St, White Bear Lake MN, 55110-3263. NPI Number Russell Richard Heurung D.C. has the Individual type.

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1699712083 NPI number is provided on an as is basis without warranty of any kind. 1699712083 is maintained by the National Plan & Provider Enumeration System. The contents of Russell Richard Heurung D.C. are for informational purposes only.