Organization
CORNERSTONE CHIROPRACTIC CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TYLER JAMES PETERSON D.C. (CHIROPRACTOR)
(651) 278-1360
Entity
Organization
Contact information
Practice address
8470 CITY CENTRE DR STE D, WOODBURY, MN 55125-3356
(651) 571-0726
Mailing address
8470 CITY CENTRE DR STE D, WOODBURY, MN 55125-3356
(651) 571-0726
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
6136
MN
Other
Enumeration date
02/23/2016
Last updated
02/23/2016
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