Organization
CLEMMENS CHIROPRACTIC, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRENDA MEDINA D.C. (DOCTOR/OWNER)
(651) 351-5070
Entity
Organization
Contact information
Practice address
210 3RD ST N, BAYPORT, MN 55003-1027
(651) 351-5070
Mailing address
210 3RD ST N, BAYPORT, MN 55003-1027
(651) 351-5070
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC4089
MN
Other
Enumeration date
10/22/2007
Last updated
10/22/2007
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