Organization
REJUVA MEDICAL AND WELLNESS CENTER L.L.C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN HERDA D.C. (SOLE MEMBER)
(952) 236-7610
Entity
Organization
Contact information
Practice address
10653 WAYZATA BLVD STE 200, MINNETONKA, MN 55305-1543
(952) 236-7610
(952) 426-0674
Mailing address
10653 WAYZATA BLVD STE 200, MINNETONKA, MN 55305-1543
(952) 236-7610
(952) 426-0674
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4872
MN
Other
Enumeration date
01/09/2015
Last updated
01/09/2015
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