Organization · Type 2 NPI

Healthsource of White Bear Lake, PLLC

Chiropractor · White Bear Lake, MN

NPI number 1073767372 Active

Practice location

4801 Highway 61 N, 105
White Bear Lake, MN 55110-2737

Call (651) 762-5433 Map

Fax (651) 762-7504

Specialties and licenses

TaxonomyCodeLicense
Chiropractor Primary 111N00000X5114 (MN)

Chiropractor: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

4 other providers at this address

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About NPI 1073767372

Healthsource of White Bear Lake, PLLC's National Provider Identifier is 1073767372, issued on Nov 13, 2008. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in White Bear Lake, MN. The record was last updated on Feb 12, 2010.