Organization
BACK TO IT CHIROPRACTIC PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK E QUANDT D.C. (OWNER)
(651) 633-9667
Entity
Organization
Contact information
Practice address
2780 SNELLING AVE N, SUITE 301, ROSEVILLE, MN 55113-7115
(651) 633-9667
(651) 633-4203
Mailing address
2780 SNELLING AVE N, SUITE 301, ROSEVILLE, MN 55113-7115
(651) 633-9667
(651) 633-4203
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2965
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
615023300
—
MN
Enumeration date
02/02/2010
Last updated
02/20/2012
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