Organization
SCHEIDEMAN CHIROPRACTIC AND BODY SHOP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRENT SCHEIDEMAN DC (CHIROPRACTOR)
(763) 262-2639
Entity
Organization
Contact information
Practice address
14030 BANK ST., SUITE 1, BECKER, MN 55362
(763) 262-2639
(763) 262-2640
Mailing address
PO BOX 265, BECKER, MN 55308-0265
(763) 262-2639
(763) 262-2640
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
4037
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
449M2SC
BCBS
MN
Enumeration date
01/25/2007
Last updated
12/04/2007
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