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Organization
BEAR TOWN CHIROPRACTIC CLINIC, P.A.
Active
Organization
BEAR TOWN CHIROPRACTIC CLINIC, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RUSSELL RICHARD HEURUNG D.C. (PRESIDENT)
(651) 429-1447
Entity
Organization
Contact information
Practice address
2186 3RD ST, SUITE 104, WHITE BEAR LAKE, MN 55110-3263
(651) 429-1447
(651) 429-5008
Mailing address
2186 3RD ST, SUITE 104, WHITE BEAR LAKE, MN 55110-3263
(651) 429-1447
(651) 429-5008
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3282
MN
Other
Enumeration date
06/01/2006
Last updated
02/10/2010
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