OrganizationActive
Advanced Brain and Body Clinic PLLC
NPI 1447816632 · Specialist · Golden Valley, MN
Provider details
- NPI number
- 1447816632
- Entity type
- Organization
- Primary specialty
- SpecialistOther Service Providers
- Authorized official
- Stephen Manlove, Owner
Practice location
701 Decatur Ave N Ste 109
Golden Valley, MN 55427-4363
Phone: (605) 348-8000
Fax: (605) 716-0248
Mailing address
636 Saint Anne St
Rapid City, SD 57701-4694
Registry dates
- Enumerated
- 2019-05-14
- Last updated
- 2025-07-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.