Organization
CHIROMED CLINIC, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAY Y. CHERNER (EXECUTIVE DIRECTOR)
(612) 922-4649
Entity
Organization
Contact information
Practice address
5355 PENN AVE S, MINNEAPOLIS, MN 55419-1056
(612) 922-4649
Mailing address
5355 PENN AVE S, MINNEAPOLIS, MN 55419-1056
Taxonomy
Speciality
Code
Description
License number
State
204C00000X
Sports Medicine (Neuromusculoskeletal Medicine) Physician
Primary
44183
MN
Other
Enumeration date
01/27/2007
Last updated
08/22/2020
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