Dehaven Chiropractic Clinic, INC
NPI #1851525893 in White Bear Lake, Minnesota
Provider Information
- NPI Number
- 1851525893
- Entity Type
- Organization
- Organization Name
- Dehaven Chiropractic Clinic, INC
- Primary Specialty
- Chiropractor
- Enumeration Date
- May 5, 2009
- Last Updated
- Mar 13, 2023
Practice Location
- Address
- 4505 WHITE BEAR PKWY STE 2200
- City
- White Bear Lake
- State
- Minnesota
- ZIP Code
- 55110-3699
- Phone
- (651) 429-3015
Authorized Official
- Name
- MRS. RENEE K DEHAVEN
- Title
- OFFICE MANAGER
- Phone
- (651) 429-3015
Specialties & Taxonomy Codes
| Specialty |
|---|
| Chiropractor |
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