Organization
BURNHAVEN CHIROPRACTIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RANDALL LEROY ROEHL D.C. (DOCTOR OF CHIROPRACTIC/ OWNER)
(952) 432-3777
Entity
Organization
Contact information
Practice address
14600 10TH AVE S, SUITE 600, BURNSVILLE, MN 55337-4643
(952) 432-3777
Mailing address
14600 10TH AVE S, SUITE 600, BURNSVILLE, MN 55337-4643
(952) 432-3777
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2259MN
MN
Other
Enumeration date
06/19/2008
Last updated
06/19/2008
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