# REJUVA MEDICAL AND WELLNESS CENTER L.L.C

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1528457868
- **Authorized official:** SUSAN HERDA D.C. (SOLE MEMBER)
- **Authorized official phone:** (952) 236-7610

## Contact information

- **Practice address:** 10653 WAYZATA BLVD STE 200, MINNETONKA, MN 55305-1543
- **Practice address phone:** (952) 236-7610
- **Practice address fax:** (952) 426-0674
- **Mailing address:** 10653 WAYZATA BLVD STE 200, MINNETONKA, MN 55305-1543
- **Mailing address phone:** (952) 236-7610
- **Mailing address fax:** (952) 426-0674

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | 4872 | MN | Yes |

## Other

- **Enumeration date:** 01/09/2015
- **Last updated:** 01/09/2015