Organization
STONEBRIDGE WELLNESS LTD
Active
Other names
StoneBridge Chiropractic
Organization subpart
No
Provider details
NPI number
Authorized official
SHANE SMITH DC (PRESIDENT)
(612) 805-9697
Entity
Organization
Contact information
Practice address
1300 E 66TH ST STE 100, RICHFIELD, MN 55423-2685
(612) 354-3165
Mailing address
10549 THOMAS AVE S, BLOOMINGTON, MN 55431-3719
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
6381
MN
Other
Enumeration date
06/18/2017
Last updated
06/18/2017
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