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Individual

DR. RICHARD JOHN ENDRIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
1560 LIVINGSTON AVE STE 103, WEST SAINT PAUL, MN 55118-3428
(651) 451-2229
(651) 457-5540
Mailing address
1560 LIVINGSTON AVENUE, SUITE 103, WEST SAINT PAUL, MN 55118
(651) 451-2229
(651) 457-5540

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
003194
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
681324100
MN
Enumeration date
09/15/2006
Last updated
10/10/2017
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