Organization
EVERGREEN CHIROPRACTIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREAS EZER DC (OWNER/CHIROPRACTOR)
(715) 216-5961
Entity
Organization
Contact information
Practice address
3454 RICE ST, SAINT PAUL, MN 55126-3044
(651) 483-4321
Mailing address
3454 RICE ST, SAINT PAUL, MN 55126-3044
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
05/03/2023
Last updated
11/28/2023
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