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Healthquest Sports Injury And Chiropractic Center

Health Maintenance Organization in Saint Paul, MN. Organization (NPI-2).

NPI number1346567609
StatusActive
Last updated in NPPESApr 27, 2010

Details

NPI
1346567609
Entity type
Organization (NPI-2)
Legal business name
Healthquest Sports Injury And Chiropractic Center
Organization subpart
No
Enumeration date
Apr 27, 2010
Last updated
Apr 27, 2010

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
302R00000X Health Maintenance Organization5324MNYes

Practice location

1053 Grand Ave
114
Saint Paul, MN 55105-3022

Phone 656-292-9247 · Fax 651-292-9257

Mailing address

1053 Grand Ave
114
Saint Paul, MN 55105-3022

Phone 656-292-9247 · Fax 651-292-9257

Authorized official

Bradley Vernon Northrup
Chiropractor/Owner
6512929247

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