Provider Demographics
NPI:1063394609
Name:EXCEL NORTH CHIROPRACTIC PA
Entity type:Organization
Organization Name:EXCEL NORTH CHIROPRACTIC PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ADAM
Authorized Official - Middle Name:PAUL
Authorized Official - Last Name:SUNDBERG
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:218-340-6110
Mailing Address - Street 1:4135 RICHARD AVE STE 102
Mailing Address - Street 2:
Mailing Address - City:HERMANTOWN
Mailing Address - State:MN
Mailing Address - Zip Code:55811-2979
Mailing Address - Country:US
Mailing Address - Phone:218-340-6110
Mailing Address - Fax:218-206-7776
Practice Address - Street 1:4135 RICHARD AVE STE 102
Practice Address - Street 2:
Practice Address - City:HERMANTOWN
Practice Address - State:MN
Practice Address - Zip Code:55811-2979
Practice Address - Country:US
Practice Address - Phone:218-206-7775
Practice Address - Fax:218-206-7776
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-24
Last Update Date:2025-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty