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Organization

WELL CHIROPRACTIC

Active
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Organization

WELL CHIROPRACTIC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. RENATO BEVANDA D.C (OWNER)
(763) 913-6156
Entity
Organization

Contact information

Practice address
966 PRAIRIE CENTER DR, EDEN PRAIRIE, MN 55344-7304
(763) 913-6156
Mailing address
9733 CAVELL AVE S, BLOOMINGTON, MN 55438-1620
(763) 913-6156

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
6227
MN

Other

Enumeration date
06/06/2016
Last updated
08/18/2016
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