Organization
KENWOOD CHIROPRACTIC ARTS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID STUSSY D.C. (OWNER)
(612) 374-3392
Entity
Organization
Contact information
Practice address
1311 W 25TH ST, MINNEAPOLIS, MN 55405-2620
(612) 374-3392
(612) 374-3477
Mailing address
1311 W 25TH ST, MINNEAPOLIS, MN 55405-2620
(612) 374-3392
(612) 374-3477
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1257
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
738325800
—
MN
Enumeration date
09/14/2006
Last updated
03/11/2013
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