Jason Michael Fredericks DC

NPI 1669689295 - Chiropractor - 111N00000X

NPI Details
NPI 1669689295
Gender Male
Enumeration Date 05/16/2007
Last Updated 04/24/2009
Entity Type Individual
Active Over 9 years ago
Practice Location
8200 HUMBOLDT AVE S STE 204
BLOOMINGTON MN, 55431-1432, US
Phone (952) 884-6144
Fax (952) 884-9180
Business Location
8200 HUMBOLDT AVE S STE 204
BLOOMINGTON MN, 55431-1432, US
Phone (952) 884-6144
Fax (952) 884-9180
Toxanomy
Taxonomy Code 111N00000X
License State Minnesota
License Number 3651
Remove 1669689295 NPI Number
 

According to our database, Dr. Jason Michael Fredericks DC NPI is 1669689295, taxonomy code is 111N00000X and license number is 3651, license state is located at Minnesota. Jason Michael Fredericks DC physically located at 8200 Humboldt Ave S Ste 204, Bloomington MN, 55431-1432. NPI Number Jason Michael Fredericks DC has the Individual type.

Sponsored links

1669689295 NPI number is provided on an as is basis without warranty of any kind. 1669689295 is maintained by the National Plan & Provider Enumeration System. The contents of Jason Michael Fredericks DC are for informational purposes only.