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Organization
REJUVA MEDICAL AND WELLNESS CENTER L.L.C
Active
Organization
REJUVA MEDICAL AND WELLNESS CENTER L.L.C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN HERDA D.C. (SOLE MEMBER)
(952) 236-7610
Entity
Organization
Contact information
Practice address
10653 WAYZATA BLVD STE 200, MINNETONKA, MN 55305-1543
(952) 236-7610
(952) 426-0674
Mailing address
10653 WAYZATA BLVD STE 200, MINNETONKA, MN 55305-1543
(952) 236-7610
(952) 426-0674
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4872
MN
Other
Enumeration date
01/09/2015
Last updated
01/09/2015
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