Organization
BIG BRAIN CONCUSSION RECOVERY & CHIROPRACTIC PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID LLOYD STUSSY DC (OWNER/DOCTOR)
(612) 374-3392
Entity
Organization
Contact information
Practice address
3313 REPUBLIC AVE., ST. LOUIS PARK, MN 55426
(612) 374-3392
(612) 374-3477
Mailing address
3313 REPUBLIC AVE., ST. LOUIS PARK, MN 55426
(612) 374-3392
(612) 374-3477
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
06/06/2019
Last updated
09/03/2019
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