Organization
QUAST CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SEAN CAMERON QUAST DC (OWNER)
(651) 777-2225
Entity
Organization
Contact information
Practice address
3607 WHITE BEAR AVE N, WHITE BEAR LAKE, MN 55110-4744
(651) 777-2225
Mailing address
3607 WHITE BEAR AVE N, WHITE BEAR LAKE, MN 55110-4744
(651) 777-2225
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2904
MN
Other
Enumeration date
08/31/2011
Last updated
12/13/2011
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