Individual
KEITH EDWARD PUDWILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
2380 TROOP DR UNIT 201, SARTELL, MN 56377-4637
(320) 255-0961
(320) 258-4001
Mailing address
2380 TROOP DR UNIT 201, SARTELL, MN 56377-4637
(320) 255-0961
(320) 258-4001
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
7176
MN
Other
Enumeration date
01/02/2024
Last updated
06/25/2024
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