Organization
LIFE WELLNESS CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS MATTHEW SCHMIDT D.C. (OWNER/CHIROPRACTOR)
(952) 435-5300
Entity
Organization
Contact information
Practice address
10551 165TH ST W, LAKEVILLE, MN 55044-5737
(952) 435-5300
(952) 898-1454
Mailing address
10551 165TH ST W, LAKEVILLE, MN 55044-5737
(952) 435-5300
(952) 898-1454
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
—
—
208D00000X
General Practice Physician
Primary
—
—
225100000X
Physical Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
025R4LI
BCBS GROUP ID
MN
Enumeration date
07/06/2006
Last updated
03/26/2020
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