Radiance Spine Injury & Wellness Center

NPI #1255798617 in Edina, Minnesota

Provider Information

NPI Number: 1255798617
Entity Type: Organization
Organization Name: Radiance Spine Injury & Wellness Center
Primary Specialty: Chiropractor
Enumeration Date: Jan 15, 2016
Last Updated: Jan 15, 2016

Practice Location

Address: 7201 YORK AVE S APT 1219
City: Edina
State: Minnesota
ZIP Code: 55435-4447
Phone: (612) 237-2508

Authorized Official

Name: DR. DANIEL ENRIQUE RIVERAMEDINA, D.C.
Title: CHIROPRACTOR
Phone: 61223872508

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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