Organization Name: | CHIROMED CLINIC, P.A. |
NPI Number: | 1891841128 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JAY Y. CHERNER (EXECUTIVE DIRECTOR) |
Mailing Address: | 5355 Penn Ave S Minneapolis |
State: | MN US |
Postal Code: | 554191056 |
Phone Number: | 6129224649 |
Fax Number: | |
NPI Enumeration Date: | 01/27/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 204C00000X |
License Number: | 44183 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MN |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Neuromusculoskeletal Medicine, Sports Medicine |
Taxonomy Specialization: | |
Taxonomy Definition: |