Organization
BURNSVILLE FAMILY CHIROPRACTIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHAD RENWICK D.C. (OWNER)
(952) 891-1955
Entity
Organization
Contact information
Practice address
13786 FRONTIER CT STE 100, BURNSVILLE, MN 55337-4832
(952) 891-1955
(952) 891-1483
Mailing address
13786 FRONTIER CT STE 100, BURNSVILLE, MN 55337-4832
(952) 891-1955
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3401
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
674222000
—
MN
Enumeration date
08/19/2011
Last updated
08/19/2011
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