Organization
ENDRIS CHIROPRACTIC, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD JOHN ENDRIS D.C. (OWNER)
(651) 451-2229
Entity
Organization
Contact information
Practice address
1560 LIVINGSTON AVE, SUITE 103, WEST SAINT PAUL, MN 55118-3419
(651) 451-2229
Mailing address
1560 LIVINGSTON AVE STE 103, WEST SAINT PAUL, MN 55118-3428
(651) 451-2229
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
003194
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
681324100
—
MN
Enumeration date
10/04/2007
Last updated
10/10/2017
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