Osseo Back and Neck Clinic, P.a.

NPI #1073688065 in Osseo, Minnesota

Provider Information

NPI Number: 1073688065
Entity Type: Organization
Organization Name: Osseo Back and Neck Clinic, P.a.
Primary Specialty: Chiropractor - Radiology
Enumeration Date: Nov 22, 2006
Last Updated: Oct 1, 2007

Practice Location

Address: 220 CENTRAL AVE
City: Osseo
State: Minnesota
ZIP Code: 55369-1245
Phone: (763) 425-5525

Authorized Official

Name: DR. PETER LEE KELZENBERG, D.C.
Title: OWNER-PRESIDENT
Phone: (763) 425-5525

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor - Radiology — Radiology	111NR0200X	Primary

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