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Organization
LEGACY CHIROPRACTIC AND WELLNESS PLLC
Active
Organization
LEGACY CHIROPRACTIC AND WELLNESS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRODERICK JAY SCHMIDT D.C. (OWNER)
(218) 236-1187
Entity
Organization
Contact information
Practice address
1675 CENTER AVE W, SUITE B, DILWORTH, MN 56529-1346
(218) 236-1187
(218) 236-8514
Mailing address
1675 CENTER AVE W, SUITE B, DILWORTH, MN 56529-1346
(218) 236-1187
(218) 236-8514
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
6294
MN
Other
Enumeration date
12/08/2016
Last updated
12/08/2016
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