OrganizationActive
Birch Lake Chiropractic Clinic, LLC
NPI 1255407136 · Chiropractor · White Bear Lake, MN
Provider details
- NPI number
- 1255407136
- Entity type
- Organization
- Primary specialty
- ChiropractorChiropractic Providers
- Authorized official
- Grant Erickson, Owner
- License
- 751 (MN)
Practice location
4635 White Bear Pkwy
White Bear Lake, MN 55110-3300
Phone: (651) 429-5329
Fax: (651) 429-2759
Mailing address
4635 White Bear Pkwy
White Bear Lake, MN 55110-3300
Registry dates
- Enumerated
- 2006-11-24
- Last updated
- 2010-03-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.