Chiropractic Wellness Innovations Pllc

NPI #1427204650 in Eagan, Minnesota

Provider Information

NPI Number: 1427204650
Entity Type: Organization
Organization Name: Chiropractic Wellness Innovations Pllc
Primary Specialty: Chiropractor
Enumeration Date: Aug 7, 2008
Last Updated: Aug 7, 2008

Practice Location

Address: 1590 THOMAS CENTER DR STE 110
City: Eagan
State: Minnesota
ZIP Code: 55122-5406
Phone: (651) 209-9710

Authorized Official

Name: BRENT J DESHAW, D.C.
Title: OWNER
Phone: (319) 350-5330

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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