Organization
CHIROPRACTIC WELLNESS INNOVATIONS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRENT J DESHAW D.C. (OWNER)
(319) 350-5330
Entity
Organization
Contact information
Practice address
1590 THOMAS CENTER DR STE 110, EAGAN, MN 55122-5406
(651) 209-9710
Mailing address
1590 THOMAS CENTER DR STE 110, EAGAN, MN 55122-5406
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
08/07/2008
Last updated
08/07/2008
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