Premier Health of Roseville, Ltd

NPI #1770792400 in St Paul, Minnesota

Provider Information

NPI Number: 1770792400
Entity Type: Organization
Organization Name: Premier Health of Roseville, Ltd
Primary Specialty: Chiropractor
Enumeration Date: May 21, 2007
Last Updated: Jul 17, 2013

Practice Location

Address: 1601 LARPENTEUR AVE
City: St Paul
State: Minnesota
ZIP Code: 55113
Phone: (651) 487-2198

Authorized Official

Name: ERIC GORDON KOEHLER, DC
Title: PRESIDENT/OWNER
Phone: (651) 487-2198

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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