Ihs Grand Avenue Pllp
NPI #1013921923 in Saint Paul, Minnesota
Provider Information
- NPI Number
- 1013921923
- Entity Type
- Organization
- Organization Name
- Ihs Grand Avenue Pllp
- Primary Specialty
- Chiropractor
- Enumeration Date
- Jul 28, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 1053 GRAND AVE
- Address 2
- SUITE 114
- City
- Saint Paul
- State
- Minnesota
- ZIP Code
- 55105-3022
- Phone
- (651) 292-9247
Authorized Official
- Name
- MR. ALEX CHERNYAVSKY, D.C.
- Title
- OWNER
- Phone
- (651) 644-7207
Specialties & Taxonomy Codes
| Specialty |
|---|
| Chiropractor |
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