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Organization
URWC, PA
Active
Organization
URWC, PA
Active
Other names
Upper Room wellness center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEVIN SEAN CONNERS D.C. (PRESIDENT)
(651) 739-1248
Entity
Organization
Contact information
Practice address
1654 COUNTY ROAD E E, VADNAIS HEIGHTS, MN 55110-4637
(651) 739-1248
(651) 264-9844
Mailing address
1654 COUNTY ROAD E E, VADNAIS HEIGHTS, MN 55110-4637
(651) 739-1248
(651) 264-9844
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2372
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
123840
HEALTHPARTNERS
MN
01
—
344J1CO
BLUE CROSS
MN
01
—
350056695
RAILROAD MEDICARE
MN
05
—
399527500
—
MN
Enumeration date
12/11/2007
Last updated
03/11/2010
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