Organization
PIETILA CHIROPRACTIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN R PIETILA DC (OWNER)
(612) 709-2737
Entity
Organization
Contact information
Practice address
12358 RIVER RIDGE BLVD, BURNSVILLE, MN 55337-1665
(952) 681-7746
(952) 681-7654
Mailing address
12358 RIVER RIDGE BLVD, BURNSVILLE, MN 55337-1665
(952) 681-7746
(952) 681-7654
Taxonomy
Speciality
Code
Description
License number
State
111NN0400X
Neurology Chiropractor
Primary
4304
MN
111NN0400X
Neurology Chiropractor
4857
MN
Other
Enumeration date
10/01/2010
Last updated
10/01/2010
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