Organization
EXPERIENCE WELLNESS CHIROPRACTIC PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEREMY NICHOLAS FAUE DC (CEO)
(763) 670-1742
Entity
Organization
Contact information
Practice address
3001 HARBOR LN N, PLYMOUTH, MN 55447-5102
(763) 383-5109
(763) 383-2937
Mailing address
3001 HARBOR LN N, PLYMOUTH, MN 55447-5102
(763) 383-5109
(763) 383-2937
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
07/09/2024
Last updated
07/09/2024
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