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Individual

ALEX P TWENGE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
23505 SMITHTOWN RD STE 100, EXCELSIOR, MN 55331-4542
(952) 470-8555
Mailing address
23505 SMITHTOWN RD STE 100, EXCELSIOR, MN 55331-4542

Taxonomy

Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
6639
MN

Other

Enumeration date
06/03/2019
Last updated
06/03/2019
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