Heaven's Gate Chiropractic, Pc

NPI 1467676346 - Chiropractor - 111N00000X

NPI Details
NPI 1467676346
Enumeration Date 04/12/2007
Last Updated 12/14/2011
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name BRIAN ANTHONY BRIAN
Position OWNER
Phone (651) 388-4378
Fax (651) 388-4385
Practice Location
305 BUSH ST
RED WING MN, 55066-2527, US
Phone (651) 388-4378
Fax (651) 388-4385
Business Location
305 BUSH ST
RED WING MN, 55066-2527, US
Phone (651) 388-4378
Fax (651) 388-4385
Toxanomy
Taxonomy Code 111N00000X
License State Minnesota
License Number MN2593
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According to our database, Heaven's Gate Chiropractic, Pc NPI is 1467676346, taxonomy code is 111N00000X and license number is MN2593, license state is located at Minnesota. Heaven's Gate Chiropractic, Pc physically located at 305 Bush St, Red Wing MN, 55066-2527. NPI Number 1033115704 has the healthcare provider type.

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1467676346 NPI number is provided on an as is basis without warranty of any kind. 1467676346 is maintained by the National Plan & Provider Enumeration System. The contents of Heaven's Gate Chiropractic, Pc are for informational purposes only.