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Organization

BRENNAN CHIROPRACTIC HEALTH CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JOHN PATRICK BRENNAN D.C. (DOCTOR OF CHIROPRACTIC/ CHIROPRACTO)
(763) 261-5100
Entity
Organization

Contact information

Practice address
13754 1ST ST, SUITE 1, BECKER, MN 55308-9337
(763) 261-5100
(763) 261-5100
Mailing address
13754 1ST ST, SUITE 1, BECKER, MN 55308-9337
(763) 261-5100
(763) 261-5100

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2768
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
516528800
MN
01
C06608
MEDICARE GROUP NUMBER
MN
Enumeration date
07/10/2007
Last updated
12/06/2012
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