SP SPINE CENTER P A NPI 1093058067

NPI Information

SP SPINE CENTER P A is a chiropractor in Saint Paul, MN. The provider is a provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. SP SPINE CENTER P A NPI is 1093058067. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

441 UNIVERSITY AVE W
SUITE 202
SAINT PAUL, MN
ZIP 55103-085
Phone: (651) 207-4879
Fax: (651) 207-4028

The provider's authorized official is Tony P Wangerin .
The authorized official title is President and has the following contact phone number (651) 207-4879.

The enumeration date for this NPI number is 3/28/2013 and was last updated on 1/30/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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