Organization
OAK RIDG CHIROPRACTIC LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRYAN WILLIAM EDWARDS D.C. (PRESIDENT)
(651) 633-8110
Entity
Organization
Contact information
Practice address
2172 SILVER LAKE RD NW, NEW BRIGHTON, MN 55112-5302
(651) 633-8110
Mailing address
2172 SILVER LAKE RD NW, NEW BRIGHTON, MN 55112-5302
(651) 633-8110
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4172
MN
Other
Enumeration date
10/09/2007
Last updated
10/09/2007
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