Organization
SP SPINE CENTER P A
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TONY P WANGERIN D.C. (PRESIDENT)
(651) 207-4879
Entity
Organization
Contact information
Practice address
441 UNIVERSITY AVE W, SUITE 202, SAINT PAUL, MN 55103-2085
(651) 207-4879
(651) 207-4028
Mailing address
441 UNIVERSITY AVE W, SUITE 202, SAINT PAUL, MN 55103-2085
(651) 207-4879
(651) 207-4028
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4841
MN
Other
Enumeration date
03/28/2013
Last updated
01/30/2014
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