Organization
HEALTHQUEST SPORTS INJURY AND CHIROPRACTIC CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRADLEY VERNON NORTHRUP D.C. (CHIROPRACTOR/OWNER)
(651) 292-9247
Entity
Organization
Contact information
Practice address
1053 GRAND AVE, 114, SAINT PAUL, MN 55105-3022
(656) 292-9247
(651) 292-9257
Mailing address
1053 GRAND AVE, 114, SAINT PAUL, MN 55105-3022
(656) 292-9247
(651) 292-9257
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
5324
MN
Other
Enumeration date
04/27/2010
Last updated
04/27/2010
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