Organization
FOR YOUR WELL BEING CHIROPRACTIC, S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TRAVIS BEAUCHAMP D.C. (PRESIDENT)
(651) 770-5433
Entity
Organization
Contact information
Practice address
2479 COUNTY ROAD E E, WHITE BEAR LAKE, MN 55110-4807
(651) 770-5433
Mailing address
2479 COUNTY ROAD E E, WHITE BEAR LAKE, MN 55110-4807
(651) 770-5433
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
MN
Other
Enumeration date
01/07/2014
Last updated
01/07/2014
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