Pequot Lakes Chiropractic and Sports Injury Center P.a
NPI #1376602656 in Pequot Lakes, Minnesota
Provider Information
- NPI Number
- 1376602656
- Entity Type
- Organization
- Organization Name
- Pequot Lakes Chiropractic and Sports Injury Center P.a
- Primary Specialty
- Chiropractor
- Enumeration Date
- Dec 6, 2006
- Last Updated
- Oct 11, 2012
Practice Location
- Address
- 31095 BERGQUIST DRIVE
- City
- Pequot Lakes
- State
- Minnesota
- ZIP Code
- 56472-0008
- Phone
- (218) 568-7767
Authorized Official
- Name
- DR. RYAN D BUELL, D.C.
- Title
- OWNER-DC
- Phone
- (218) 568-7767
Specialties & Taxonomy Codes
| Specialty |
|---|
| Chiropractor |
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