# LINDSTROM CHIROPRACTIC CENTER, PA

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** LINDSTROM CHIROPRACTIC CENTER, PA
- **Other names:** Club West Chiropractic
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1023499928
- **Legal business name:** LINDSTROM CHIROPRACTIC CENTER, PA
- **Authorized official:** DR. ROBERT DONALD WADDELL II DC (OWNER)
- **Authorized official phone:** (651) 257-1103

## Contact information

- **Practice address:** 10995 CLUB WEST PKWY, SUITE 400, BLAINE, MN 55449-5058
- **Practice address phone:** (763) 400-4940
- **Practice address fax:** (763) 634-8580
- **Mailing address:** 10995 CLUB WEST PKWY, SUITE 400, BLAINE, MN 55449-5058
- **Mailing address phone:** (763) 400-4940
- **Mailing address fax:** (763) 634-8580

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | 6017 | MN | Yes |

## Other

- **Enumeration date:** 06/16/2015
- **Last updated:** 06/16/2015