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Organization
WURDEMANN CHIROPRACTIC PA
Active
Organization
WURDEMANN CHIROPRACTIC PA
Active
Parent organization
WURDEMANN CHIROPRACTIC PA
Other names
Revive Chiropractic
Organization subpart
Yes
Provider details
NPI number
Legal business name
WURDEMANN CHIROPRACTIC PA
Authorized official
DR. PETER WURDEMANN D.C. (OWNER)
(651) 674-2700
Entity
Organization
Contact information
Practice address
6272 MAIN ST, NORTH BRANCH, MN 55056-6593
(651) 674-2700
(651) 674-4135
Mailing address
6368 ELM STREET, NORTH BRANCH, MN 55056-0094
(651) 674-2700
(651) 674-4135
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1518251685
NPI FOR INDIVIDUAL - DR. PETER WURDEMANN
MN
Enumeration date
07/05/2011
Last updated
06/13/2023
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