Organization
LEGACY CHIROPRACTIC AND WELLNESS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRODERICK JAY SCHMIDT D.C. (OWNER)
(218) 236-1187
Entity
Organization
Contact information
Practice address
1675 CENTER AVE W, SUITE B, DILWORTH, MN 56529-1346
(218) 236-1187
(218) 236-8514
Mailing address
1675 CENTER AVE W, SUITE B, DILWORTH, MN 56529-1346
(218) 236-1187
(218) 236-8514
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
6294
MN
Other
Enumeration date
12/08/2016
Last updated
12/08/2016
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