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Organization

GREENBERG CHIROPRACTIC CARE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. TINA SUE GREENBERG DC (DOCTOR OF CHIROPRACTIC)
(952) 920-9247
Entity
Organization

Contact information

Practice address
5407 EXCELSIOR BLVD, SUITE D, ST LOUIS PK, MN 55416
(952) 920-9247
(952) 922-3480
Mailing address
5407 EXCELSIOR BLVD, SUITE D, ST LOUIS PK, MN 55416
(952) 920-9247
(952) 922-3480

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
MN1715
MN
111N00000X
Chiropractor
Primary
OK2045
OK
111N00000X
Chiropractor
WA1442
WA
171100000X
Acupuncturist
632
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
413G1GR
BLUE CROSS BLUE SHIELD
MN
Enumeration date
10/05/2006
Last updated
09/11/2025
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