Peddycoart Chiropractic Inc.
NPI #1205144722 in White Bear Lake, Minnesota
Provider Information
- NPI Number
- 1205144722
- Entity Type
- Organization
- Organization Name
- Peddycoart Chiropractic Inc.
- Primary Specialty
- Chiropractor
- Enumeration Date
- Sep 17, 2010
- Last Updated
- Sep 17, 2010
Practice Location
- Address
- 1803 BUERKLE RD
- Address 2
- SUITE 101
- City
- White Bear Lake
- State
- Minnesota
- ZIP Code
- 55110-5269
- Phone
- (651) 770-8424
Authorized Official
- Name
- DR. BRENWYN ANNE-LISA PEDDYCOART, D.C.
- Title
- PRESIDENT
- Phone
- (651) 770-8424
Specialties & Taxonomy Codes
| Specialty |
|---|
| Chiropractor |
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