Wildenauer Chiropractic Clinic Ltd

NPI #1306061155 in Saint Paul, Minnesota

Provider Information

NPI Number: 1306061155
Entity Type: Organization
Organization Name: Wildenauer Chiropractic Clinic Ltd
Primary Specialty: Chiropractor
Enumeration Date: Apr 16, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 1525 LIVINGSTON AVE
City: Saint Paul
State: Minnesota
ZIP Code: 55118-3430
Phone: (651) 455-5264

Authorized Official

Name: DR. JERROLD RICHARD WILDENAUER, DC
Title: OWNER
Phone: (651) 455-5264

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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