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Organization
THREE PHASES PA
Active
Organization
THREE PHASES PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VERRILL SCHWANTES (OWNER)
(651) 336-5862
Entity
Organization
Contact information
Practice address
2700 E LAKE ST, SUTIE 3350, MINNEAPOLIS, MN 55406-1963
(612) 721-7771
Mailing address
2323 94TH WAY, BROOKLYN PARK, MN 55444-1183
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4538
MN
Other
Enumeration date
02/18/2015
Last updated
02/18/2015
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