Organization
PRIMARY WELLNESS & INJURY CENTER, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PETER A HARMON D.C. (PRESIDENT)
(612) 237-9532
Entity
Organization
Contact information
Practice address
1885 UNIVERSITY AVE W STE 229, SAINT PAUL, MN 55104-3478
(612) 237-9532
Mailing address
1885 UNIVERSITY AVE W STE 229, SAINT PAUL, MN 55104-3478
(612) 237-9532
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5573
MN
Other
Enumeration date
12/09/2014
Last updated
12/09/2014
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