Bear Town Chiropractic Clinic, P.a.
NPI #1871530352 in White Bear Lake, Minnesota
Provider Information
- NPI Number
- 1871530352
- Entity Type
- Organization
- Organization Name
- Bear Town Chiropractic Clinic, P.a.
- Primary Specialty
- Chiropractor
- Enumeration Date
- Jun 1, 2006
- Last Updated
- Feb 10, 2010
Practice Location
- Address
- 2186 3RD ST
- Address 2
- SUITE 104
- City
- White Bear Lake
- State
- Minnesota
- ZIP Code
- 55110-3263
- Phone
- (651) 429-1447
Authorized Official
- Name
- DR. RUSSELL RICHARD HEURUNG, D.C.
- Title
- PRESIDENT
- Phone
- (651) 429-1447
Specialties & Taxonomy Codes
| Specialty |
|---|
| Chiropractor |
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