Provider Demographics
NPI:1821386699
Name:BIRD, SETH MICHAEL (DC)
Entity Type:Individual
Prefix:DR
First Name:SETH
Middle Name:MICHAEL
Last Name:BIRD
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3300 EDINBOROUGH WAY STE 100
Mailing Address - Street 2:
Mailing Address - City:EDINA
Mailing Address - State:MN
Mailing Address - Zip Code:55435-5957
Mailing Address - Country:US
Mailing Address - Phone:612-383-6909
Mailing Address - Fax:
Practice Address - Street 1:3300 EDINBOROUGH WAY STE 100
Practice Address - Street 2:
Practice Address - City:EDINA
Practice Address - State:MN
Practice Address - Zip Code:55435-5957
Practice Address - Country:US
Practice Address - Phone:612-383-6909
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-07-14
Last Update Date:2024-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN5672111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor