Sp Spine Center P a
NPI #1093058067 in Saint Paul, Minnesota
Provider Information
- NPI Number
- 1093058067
- Entity Type
- Organization
- Organization Name
- Sp Spine Center P a
- Primary Specialty
- Chiropractor
- Enumeration Date
- Mar 28, 2013
- Last Updated
- Jan 30, 2014
Practice Location
- Address
- 441 UNIVERSITY AVE W
- Address 2
- SUITE 202
- City
- Saint Paul
- State
- Minnesota
- ZIP Code
- 55103-2085
- Phone
- (651) 207-4879
Authorized Official
- Name
- DR. TONY P WANGERIN, D.C.
- Title
- PRESIDENT
- Phone
- (651) 207-4879
Specialties & Taxonomy Codes
| Specialty |
|---|
| Chiropractor |
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