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Individual

DR. NATHAN BURDASH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
101 5TH ST E, SUITE 227, SAINT PAUL, MN 55101-1898
(651) 778-0080
Mailing address
101 5TH ST E, SUITE 227, SAINT PAUL, MN 55101-1898
(651) 778-0080

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4162
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1468
MN
Enumeration date
12/13/2006
Last updated
09/20/2013
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