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Organization
THE RENNEKE CHIROPRACTIC CLINIC PA
Active
Organization
THE RENNEKE CHIROPRACTIC CLINIC PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DEAN GLENN RENNEKE DC (PRES)
(218) 829-5380
Entity
Organization
Contact information
Practice address
623 MADISON ST., BRAINERD, MN 56401
(218) 829-5380
(218) 825-0972
Mailing address
623 MADISON ST, BRAINERD, MN 56401
(218) 829-5380
(218) 825-0972
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1572
MN
225100000X
Physical Therapist
5809
MN
225200000X
Physical Therapy Assistant
—
MN
Other
Enumeration date
12/19/2014
Last updated
02/28/2021
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