Roots Wellcare, P.a.

NPI #1770754392 in St Paul, Minnesota

Provider Information

NPI Number: 1770754392
Entity Type: Organization
Organization Name: Roots Wellcare, P.a.
Primary Specialty: Chiropractor
Enumeration Date: Mar 24, 2008
Last Updated: Dec 10, 2008

Practice Location

Address: 570 ASBURY STREET
Address 2: SUITE 102
City: St Paul
State: Minnesota
ZIP Code: 55104-1852
Phone: (651) 310-0000

Authorized Official

Name: DR. CARLA JEAN BREUNIG, D.C.
Title: PRESIDENT/OWNER
Phone: (651) 644-0455

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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