Birch Lake Chiropractic Clinic, LLC
NPI #1255407136 in White Bear Lake, Minnesota
Provider Information
- NPI Number
- 1255407136
- Entity Type
- Organization
- Organization Name
- Birch Lake Chiropractic Clinic, LLC
- Primary Specialty
- Chiropractor
- Enumeration Date
- Nov 24, 2006
- Last Updated
- Mar 17, 2010
Practice Location
- Address
- 4635 WHITE BEAR PKWY
- City
- White Bear Lake
- State
- Minnesota
- ZIP Code
- 55110-3300
- Phone
- (651) 429-5329
Authorized Official
- Name
- DR. GRANT ERICKSON, D.C.
- Title
- OWNER
- Phone
- (651) 429-5329
Specialties & Taxonomy Codes
| Specialty |
|---|
| Chiropractor |
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