Organization
LIFE WELLNESS CENTER-EAGAN, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS SCHMIDT DC (OWNER)
(952) 435-5300
Entity
Organization
Contact information
Practice address
1895 PLAZA DR, SUITE 200, EAGAN, MN 55122-4600
(651) 688-8886
(651) 688-2702
Mailing address
1895 PLAZA DR, SUITE 200, EAGAN, MN 55122-4600
(651) 688-8886
(651) 688-2702
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
—
—
208D00000X
General Practice Physician
Primary
—
—
225100000X
Physical Therapist
—
—
Other
Enumeration date
11/27/2013
Last updated
03/26/2020
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