Individual provider · Type 1 NPI

Rena Ann Widboom, DC

Chiropractor · Minneapolis, MN

NPI number 1922252964 Active

Practice location

2112 Lyndale Ave S
Minneapolis, MN 55405-3026

Call (612) 874-1313 Map

Mailing address

13605 27th Ave N
Plymouth, MN 55441-3616

Specialties and licenses

TaxonomyCodeLicense
Chiropractor Primary 111N00000X5145 (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 1922252964

Rena Ann Widboom, DC's National Provider Identifier is 1922252964, issued on Nov 4, 2008. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Minneapolis, MN. The record was last updated on Nov 26, 2012.