The Renneke Chiropractic Clinic

NPI 1245638584 - Physical Therapist - 225100000X

NPI Details
NPI 1245638584
Enumeration Date 12/19/2014
Last Updated 12/19/2014
Entity Type Healthcare Provider
Active Over 1 year ago
Authorized Information
Name DEAN GLENN DEAN
Position PRES
Phone (218) 829-5380
Fax (218) 825-0972
Practice Location
623 MADISON ST.
BRAINERD MN, 56401, US
Phone (218) 829-5380
Fax (218) 825-0972
Business Location
623 MADISON ST
BRAINERD MN, 56401, US
Phone (218) 829-5380
Fax (218) 825-0972
Toxanomy
Taxonomy Code 225100000X
License State Minnesota
License Number 5809
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According to our database, The Renneke Chiropractic Clinic NPI is 1245638584, taxonomy code is 225100000X and license number is 5809, license state is located at Minnesota. The Renneke Chiropractic Clinic physically located at 623 Madison St., Brainerd MN, 56401. NPI Number 1033115704 has the healthcare provider type.

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1245638584 NPI number is provided on an as is basis without warranty of any kind. 1245638584 is maintained by the National Plan & Provider Enumeration System. The contents of The Renneke Chiropractic Clinic are for informational purposes only.