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REVIVE CHIROPRACTIC
NPI 1578850061
Chiropractor in North Branch, MN

Active since July 05, 2011
6272 MAIN ST, NORTH BRANCH, MN 55056(651) 674-2700(651) 674-4135 Get Directions Write a Review

NPPES record last updated: June 13, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Revive Chiropractic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

REVIVE CHIROPRACTIC (NPI 1578850061) is a healthcare organization registered as a chiropractor in North Branch, Minnesota and active in the NPI registry since July 2011. The organization lists Peter Wurdemann, Owner, as its authorized official.

NPPES Registry Identity

NPI1578850061
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameWURDEMANN CHIROPRACTIC PA
Location Address6272 MAIN STNorth Branch, MN 55056-6593
Mailing Address6368 Elm StreetNorth Branch, MN 55056-0094 · (651) 674-2700 · Fax (651) 674-4135
Phone(651) 674-2700
Fax(651) 674-4135
Organization SubpartYes
Authorized OfficialPeter WurdemannOwner · (651) 674-2700
Enumeration DateJuly 5, 2011
Last NPPES UpdateJune 13, 2023
NPPES CertifiedJune 13, 2023
✔ NPI 1578850061 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
Definition

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.

6272 MAIN ST, North Branch, MN 55056
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Other Names 1

Doing Business AsRevive Chiropractic

Other Identifiers 1

Other1518251685MN · Npi For Individual - Dr. Peter Wurdemann

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KRISTI LYNN NEWTON
Massage Therapist
6272 MAIN ST
NORTH BRANCH, MN 55056
Chisago County (651) 674-2700

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Wurdemann Chiropractic PA's NPI number?

The NPI number for Wurdemann Chiropractic PA is 1578850061. It was assigned to this organization in the NPPES registry on July 5, 2011. The provider is doing business as Revive Chiropractic.

Where is Wurdemann Chiropractic PA located?

Wurdemann Chiropractic PA is located at 6272 Main St, North Branch, MN 55056. The listed phone number is (651) 674-2700.

What is Wurdemann Chiropractic PA's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

When was this NPI record last updated?

The NPPES record for Wurdemann Chiropractic PA was last updated on June 13, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.