Club West Chiropractic PA

NPI #1427447432 in Blaine, Minnesota

Provider Information

NPI Number: 1427447432
Entity Type: Organization
Organization Name: Club West Chiropractic PA
Primary Specialty: Chiropractor
Enumeration Date: Jan 14, 2015
Last Updated: Feb 26, 2024

Practice Location

Address: 10950 CLUB WEST PKWY STE 190
City: Blaine
State: Minnesota
ZIP Code: 55449-5862
Phone: (763) 400-4940

Authorized Official

Name: ALYCEAN MARYRAE BERGH, DC
Title: VP
Phone: (763) 400-4940

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X
Chiropractor	111N00000X	Primary

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