Organization
RENA A. WIDBOOM, PLLC
Active
Other names
Encompass Chiropractic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RENA A WIDBOOM D.C. (OWNER/CHIROPRACTOR)
(763) 559-5326
Entity
Organization
Contact information
Practice address
13605 27TH AVE N, PLYMOUTH, MN 55441-3616
(763) 559-5326
Mailing address
13605 27TH AVE N, PLYMOUTH, MN 55441-3616
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5145
MN
Other
Enumeration date
06/06/2013
Last updated
06/06/2013
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