Individual
DR. RENATO BEVANDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
966 PRAIRIE CENTER DR, EDEN PRAIRIE, MN 55344-7304
(763) 913-6156
Mailing address
9733 CAVELL AVE S, BLOOMINGTON, MN 55438-1620
(763) 913-6156
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
6227
MN
Other
Enumeration date
06/06/2016
Last updated
06/06/2016
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