Individual
DR. BEAU MACMILLAN BATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
7400 METRO BLVD STE 222, EDINA, MN 55439-2321
(612) 741-1224
Mailing address
7400 METRO BLVD STE 222, EDINA, MN 55439-2321
(612) 741-1224
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
6723
MN
Other
Enumeration date
07/17/2020
Last updated
07/17/2020
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