Individual
CHARLES BAMMERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
11565 THEATRE DR N, 107, CHAMPLIN, MN 55316-2750
(763) 229-3093
Mailing address
11565 THEATRE DR N, 107, CHAMPLIN, MN 55316-2750
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5187
MN
Other
Enumeration date
05/18/2009
Last updated
05/18/2009
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