# FUGLEBERG CHIROPRACTIC, PA

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

## Provider details

- **NPI number:** 1932341070
- **Authorized official:** DR. JOEL THOMAS FUGLEBERG D.C. (OWNER/DR)
- **Authorized official phone:** (651) 406-4454

## Contact information

- **Practice address:** 821 SIBLEY MEMORIAL HWY, MENDOTA HEIGHTS, MN 55118-1709
- **Practice address phone:** (651) 406-4454
- **Practice address fax:** (651) 406-4453
- **Mailing address:** 821 SIBLEY MEMORIAL HWY, MENDOTA HEIGHTS, MN 55118-1709
- **Mailing address phone:** (651) 406-4454
- **Mailing address fax:** (651) 406-4453

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | 4878 | MN | Yes |

## Other

- **Enumeration date:** 04/06/2009
- **Last updated:** 04/06/2009