Organization
BACK TO LIFE NATURAL HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RONALD DENIS LEDOUX DC (OWNER/PRESIDENT)
(763) 546-3736
Entity
Organization
Contact information
Practice address
2960 WINNETKA AVE N, SUITE 110, CRYSTAL, MN 55427
(763) 546-3736
(763) 546-3807
Mailing address
2960 WINNETKA AVE N, SUITE 110, CRYSTAL, MN 55427
(763) 546-3736
(763) 546-3807
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3691
MN
Other
Enumeration date
09/22/2010
Last updated
09/22/2010
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