Organization
PETERNELL CHIROPRACTIC PC
Active
Other names
Cold Spring Spine and Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TYLER PETERNELL DC (PRESIDENT)
(320) 761-2525
Entity
Organization
Contact information
Practice address
24 3RD AVE S, SUITE 4, COLD SPRING, MN 56320-4544
(320) 686-0137
Mailing address
24 3RD AVE S, SUITE 4, COLD SPRING, MN 56320-4544
(320) 686-0137
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
6092
MN
Other
Enumeration date
06/03/2015
Last updated
06/03/2015
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