St. Paul Neck & Back Clinic, PC
NPI #1457556730 in Brooklyn Center, Minnesota
Provider Information
- NPI Number
- 1457556730
- Entity Type
- Organization
- Organization Name
- St. Paul Neck & Back Clinic, PC
- Primary Specialty
- Chiropractor
- Enumeration Date
- Jun 18, 2007
- Last Updated
- Sep 18, 2012
Practice Location
- Address
- 2781 FREEWAY BLVD
- Address 2
- SUITE 160
- City
- Brooklyn Center
- State
- Minnesota
- ZIP Code
- 55430-1753
- Phone
- (763) 560-9139
Authorized Official
- Name
- DR. JASON JOHN STADTHER, D.C.
- Title
- CEO
- Phone
- (763) 560-9139
Specialties & Taxonomy Codes
| Specialty |
|---|
| Chiropractor |
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