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Organization
AFFORDABLE CHIROPRACTIC CENTER, P.A.
Active
Organization
AFFORDABLE CHIROPRACTIC CENTER, P.A.
Active
Other names
Advanced Spinal Care & Rehab
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DUANE JOHN D.C. (CHIROPRACTOR OWNER)
(651) 490-1507
Entity
Organization
Contact information
Practice address
4535 HODGSON RD, SHOREVIEW, MN 55126-1949
(651) 490-1507
Mailing address
4535 HODGSON RD, SHOREVIEW, MN 55126-1949
(651) 490-1507
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2834
MN
225100000X
Physical Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
126828700
—
MN
01
—
350004070
MEDICARE
MN
Enumeration date
03/05/2007
Last updated
01/11/2017
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