Individual
DR. CHAD DANIEL RENWICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
13786 FRONTIER CT STE 100, BURNSVILLE, MN 55337-4832
(952) 891-1955
(952) 891-1483
Mailing address
13786 FRONTIER CT STE 100, BURNSVILLE, MN 55337-4832
(952) 891-1955
(952) 891-1483
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3401
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
674222000
—
MN
01
—
84D20BU
BXBS
MN
Enumeration date
11/01/2006
Last updated
07/08/2007
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