Organization
ANDREA WHITE
Active
Organization
ANDREA WHITE
Active
Parent organization
BROMAN CHIROPRACTIC CLINIC
Organization subpart
Yes
Provider details
NPI number
Legal business name
BROMAN CHIROPRACTIC CLINIC
Authorized official
MARY P HOWARD (BILLING MANAGER)
(763) 420-8595
Entity
Organization
Contact information
Practice address
7237 FORESTVIEW LN N, MAPLE GROVE, MN 55369-5501
(763) 420-8595
(763) 420-2029
Mailing address
7237 FORESTVIEW LN N, MAPLE GROVE, MN 55369-5501
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
2014-99
MN
Other
Enumeration date
09/17/2014
Last updated
09/17/2014
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