Advanced Chiropractic & Wellness, P.A.
Chiropractor in Roseville, MN. Organization (NPI-2).
NPI number1700941069
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1700941069
- Entity type
- Organization (NPI-2)
- Legal business name
- Advanced Chiropractic & Wellness, P.A.
- Organization subpart
- No
- Enumeration date
- Dec 27, 2006
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 111N00000X | Chiropractor | 4749 | MN | Yes |
Practice location
1752 Lexington Ave NRoseville, MN 55113-6516
Phone 651-779-5998 · Fax 651-779-7165
Mailing address
1752 Lexington Ave NRoseville, MN 55113-6516
Phone 651-779-5998 · Fax 651-779-7165
Authorized official
Eric Brian Lund
Owner Doctor Of Chiropractic
6517795998
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