Organization
BEAR TOWN CHIROPRACTIC CLINIC, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RUSSELL RICHARD HEURUNG D.C. (PRESIDENT)
(651) 429-1447
Entity
Organization
Contact information
Practice address
2186 3RD ST, SUITE 104, WHITE BEAR LAKE, MN 55110-3263
(651) 429-1447
(651) 429-5008
Mailing address
2186 3RD ST, SUITE 104, WHITE BEAR LAKE, MN 55110-3263
(651) 429-1447
(651) 429-5008
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3282
MN
Other
Enumeration date
06/01/2006
Last updated
02/10/2010
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