Marty Clinic PA

NPI #1588611438 in Edina, Minnesota

Provider Information

NPI Number: 1588611438
Entity Type: Organization
Organization Name: Marty Clinic PA
Primary Specialty: Chiropractor
Enumeration Date: May 27, 2006
Last Updated: Jun 8, 2009

Practice Location

Address: 5201 EDEN AVE
Address 2: SUITE 190
City: Edina
State: Minnesota
ZIP Code: 55436-2316
Phone: (952) 920-9721

Authorized Official

Name: SUSAN MARTYELDRIDGE, D.C.
Title: CHIROPRACTOR
Phone: (952) 920-9721

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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