Organization
EVENING CHIROPRACTIC CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN R RENELUS D.C. (DR OF CHIROPRACTIC)
(651) 419-1069
Entity
Organization
Contact information
Practice address
1885 UNIVERSITY AVE W, 140, SAINT PAUL, MN 55104-3489
(651) 419-1069
Mailing address
1626 VINCENT AVE N, MINNEAPOLIS, MN 55411-2839
(651) 419-1069
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4047971-2
MN
Other
Enumeration date
03/09/2015
Last updated
03/09/2015
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