Organization
HEALTHSOURCE OF ST PAUL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES BUESGENS DC,OTR (CHIROPRACTOR)
(651) 731-1880
Entity
Organization
Contact information
Practice address
1815 SUBURBAN AVE, SAINT PAUL, MN 55119-4302
(651) 731-1880
(651) 739-6029
Mailing address
1815 SUBURBAN AVE, SAINT PAUL, MN 55119-4302
(651) 731-1880
(651) 739-6029
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
547
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
547
PROFESSIONAL FIRM LICENSE
MN
Enumeration date
12/28/2009
Last updated
01/19/2010
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