Individual provider · Type 1 NPI

Brenwyn Anne Lisa Peddycoart, DC

Chiropractor · White Bear Lake, MN

NPI number 1558401968 Active

Practice location

1803 Buerkle Rd, Suite 100
White Bear Lake, MN 55110-5269

Call (651) 770-8424 Map

Fax (651) 770-3170

Specialties and licenses

TaxonomyCodeLicense
Chiropractor Primary 111N00000X3350 (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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About NPI 1558401968

Brenwyn Anne Lisa Peddycoart, DC's National Provider Identifier is 1558401968, issued on Feb 7, 2007. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in White Bear Lake, MN. The record was last updated on Aug 27, 2010.