Individual provider · Type 1 NPI
Andrea Wilde, DC
Chiropractor · Crystal, MN
NPI number
1235595596
Active
Practice location
4330 Brunswick Ave N
Crystal, MN 55422-1011
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | 6174 (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.
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- Gabriel KimballChiropractor Crystal, MN NPI 1881387017
About NPI 1235595596
Andrea Wilde, DC's National Provider Identifier is 1235595596, issued on Jan 1, 2016. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Crystal, MN. The record was last updated on Jan 1, 2016.