Jason Owen Wallin DC

NPI 1679628309 - Chiropractor - 111N00000X

NPI Details
NPI 1679628309
Gender Male
Enumeration Date 01/24/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
4717 HIAWATHA AVE
MINNEAPOLIS MN, 55406-3928, US
Phone (612) 721-2146
Fax
Business Location
4717 HIAWATHA AVE
MINNEAPOLIS MN, 55406-3928, US
Phone (612) 721-2146
Fax
Toxanomy
Taxonomy Code 111N00000X
License State Minnesota
License Number 3838
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According to our database, Dr. Jason Owen Wallin DC NPI is 1679628309, taxonomy code is 111N00000X and license number is 3838, license state is located at Minnesota. Jason Owen Wallin DC physically located at 4717 Hiawatha Ave, Minneapolis MN, 55406-3928. NPI Number Jason Owen Wallin DC has the Individual type.

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1679628309 NPI number is provided on an as is basis without warranty of any kind. 1679628309 is maintained by the National Plan & Provider Enumeration System. The contents of Jason Owen Wallin DC are for informational purposes only.