# MARTY CLINIC PA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Marty Chiropractic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1588611438
- **Authorized official:** SUSAN MARTYELDRIDGE D.C. (CHIROPRACTOR)
- **Authorized official phone:** (952) 920-9721

## Contact information

- **Practice address:** 5201 EDEN AVE, SUITE 190, EDINA, MN 55436-2316
- **Practice address phone:** (952) 920-9721
- **Practice address fax:** (952) 241-4355
- **Mailing address:** 5201 EDEN AVE, SUITE 190, EDINA, MN 55436-2316
- **Mailing address phone:** (952) 920-9721
- **Mailing address fax:** (952) 241-4355

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | 1566 | MN | Yes |

## Other

- **Enumeration date:** 05/27/2006
- **Last updated:** 06/08/2009