Rena A. Widboom, Pllc

NPI #1336587864 in Plymouth, Minnesota

Provider Information

NPI Number: 1336587864
Entity Type: Organization
Organization Name: Rena A. Widboom, Pllc
Primary Specialty: Chiropractor
Enumeration Date: Jun 6, 2013
Last Updated: Jun 6, 2013

Practice Location

Address: 13605 27TH AVE N
City: Plymouth
State: Minnesota
ZIP Code: 55441-3616
Phone: (763) 559-5326

Authorized Official

Name: DR. RENA A WIDBOOM, D.C.
Title: OWNER/CHIROPRACTOR
Phone: (763) 559-5326

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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