Organization
BACK IN BALANCE CHIROPRACTIC, PA
Active
Other names
wildenauer chiropractic clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SCOTT ANDREW MOORING DC (OWNER/OPERATOR)
(651) 455-5264
Entity
Organization
Contact information
Practice address
1525 LIVINGSTON AVE, WEST ST PAUL, MN 55118-3430
(651) 455-5264
(651) 455-1172
Mailing address
1525 LIVINGSTON AVE, WEST ST PAUL, MN 55118-3430
(651) 455-5264
(651) 455-1172
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4451
MN
Other
Enumeration date
11/20/2007
Last updated
09/01/2016
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