Organization
ST. PAUL NECK & BACK CLINIC, PC
Active
Other names
Brooklyn Center Neck & Back Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JASON JOHN STADTHER D.C. (CEO)
(763) 560-9139
Entity
Organization
Contact information
Practice address
2781 FREEWAY BLVD, SUITE 160, BROOKLYN CENTER, MN 55430-1753
(763) 560-9139
(763) 560-9149
Mailing address
2781 FREEWAY BLVD, SUITE 160, BROOKLYN CENTER, MN 55430-1753
(763) 560-9139
(763) 560-9149
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3945
MN
Other
Enumeration date
06/18/2007
Last updated
09/18/2012
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