Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Healthsource of White Bear Lake, PLLC

Organization Chiropractor · NPI 1073767372

Healthsource of White Bear Lake, PLLC provides Chiropractor services in White Bear Lake, Minnesota. Licensed in Minnesota. Registered with an NPI since 2008.

Licensed in
MN
In the registry since
2008
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4801 Highway 61 N 105
White Bear Lake, MN 55110-2737 Not confirmed with CMS for 16 years — call before visiting
Phone: (651) 762-5433
Fax: (651) 762-7504
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Chiropractor (primary) Taxonomy 111N00000X · Licence 5114 (MN)

Record details

NPI number1073767372
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michael Dixon — Chiropractor · (651) 762-5433
NPI enumeratedNovember 13, 2008
Last updated in NPPESFebruary 12, 2010
Mailing address4801 Highway 61 N, 105, White Bear Lake, MN 55110-2737

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