Individual
DR. RENATA R EVERTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
9325 UPLAND LANE N SUIT 230, MAPLE GROVE, MN 55369
(763) 315-0466
Mailing address
910 94TH AVE NE, BLAINE, MN 55434
(763) 232-5463
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
383670534
MN
111NS0005X
Sports Physician Chiropractor
383670534
MN
Other
Enumeration date
12/27/2010
Last updated
01/27/2011
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