Elite Chiropractic-North St. Paul
NPI #1972529634 in Saint Paul, Minnesota
Provider Information
- NPI Number
- 1972529634
- Entity Type
- Organization
- Organization Name
- Elite Chiropractic-North St. Paul
- Primary Specialty
- Chiropractor
- Enumeration Date
- Jul 14, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 2597 7TH AVE E
- City
- Saint Paul
- State
- Minnesota
- ZIP Code
- 55109-3104
- Phone
- (651) 777-1710
Authorized Official
- Name
- DR. BRADLEY DALE WILDBERG, D.C.
- Title
- OWNER, PRESIDENT OF LLC
- Phone
- (952) 492-5914
Specialties & Taxonomy Codes
| Specialty |
|---|
| Chiropractor |
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