Pdr Southdale, Inc

NPI 1073626008 - Chiropractor - 111N00000X

NPI Details
NPI 1073626008
Enumeration Date 08/16/2006
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name TODD WALLACE TODD
Position PRESIDENT/OWNER
Phone (952) 908-2700
Fax
Practice Location
3400 W 66TH ST
SUITE 450
EDINA MN, 55435-2111, US
Phone (952) 908-2700
Fax
Business Location
11822 BREN RD
MINNETONKA MN, 55343-9464, US
Phone
Fax
Toxanomy
Taxonomy Code 111N00000X
License State
License Number
Remove 1073626008 NPI Number
 

According to our database, Pdr Southdale, Inc NPI is 1073626008, taxonomy code is 111N00000X Pdr Southdale, Inc physically located at 3400 W 66th St, Edina MN, 55435-2111. NPI Number 1033115704 has the healthcare provider type.

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1073626008 NPI number is provided on an as is basis without warranty of any kind. 1073626008 is maintained by the National Plan & Provider Enumeration System. The contents of Pdr Southdale, Inc are for informational purposes only.