Organization
ADVANCED BRAIN AND BODY CLINIC PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN PAUL MANLOVE MD (OWNER)
(605) 348-8000
Entity
Organization
Contact information
Practice address
701 DECATUR AVE N STE 109, GOLDEN VALLEY, MN 55427-4363
(605) 348-8000
(605) 716-0248
Mailing address
636 SAINT ANNE ST, RAPID CITY, SD 57701-4694
(605) 348-8000
(605) 716-0248
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
05/14/2019
Last updated
07/10/2025
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