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MAI SPINE CENTER

Chiropractic Providers Chiropractor

Provider NPI: 1255563227

Organization Information:
Organization Name:  MAI SPINE CENTER
Organization is Subpart
Authorized Official:  MICHAEL DUNG MAI  CEO  612-227-9606

Practice Location:
485 ARUNDEL ST SUITE 102 ST. PAUL, MN 55103-1931 US
Tel: 651-797-3866  Fax: 651-207-5395

Business Mailing Address:
485 ARUNDEL ST SUITE 102 ST. PAUL, MN 55103-1931 US
Tel: 651-797-3866  Fax: 651-207-5395

NPI Information:
NPI: 1255563227
Entity Type: Organization

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y111N00000XChiropractic Providers
Chiropractor
MN4848
N111N00000XChiropractic Providers
Chiropractor
N207RM1200XPhysicians
Internal Medicine

Other Provider Identifiers:

IssuerNumberStateType



American Medical Association 2012 taxonomy code information

Code: 111N00000X

Type:

Classification:



Definition:



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