Joshua Nathan Jaeger D.C.

NPI 1669702536 - Chiropractor - 111N00000X

NPI Details
NPI 1669702536
Gender Male
Enumeration Date 12/28/2009
Last Updated 04/27/2010
Entity Type Individual
Active Over 6 years ago
Practice Location
4955 17TH AVE S
SUITE 108
FARGO ND, 58103-3372, US
Phone (701) 356-5433
Fax (701) 364-2675
Business Location
4755 CLOCK TOWER LN. S.
FARGO ND, 58104-3372, US
Phone (701) 230-1825
Fax
Toxanomy
Taxonomy Code 111N00000X
License State Wisconsin
License Number 4563-12
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According to our database, Dr. Joshua Nathan Jaeger D.C. NPI is 1669702536, taxonomy code is 111N00000X and license number is 4563-12, license state is located at Wisconsin. Joshua Nathan Jaeger D.C. physically located at 4955 17th Ave S, Fargo ND, 58103-3372. NPI Number Joshua Nathan Jaeger D.C. has the Individual type.

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1669702536 NPI number is provided on an as is basis without warranty of any kind. 1669702536 is maintained by the National Plan & Provider Enumeration System. The contents of Joshua Nathan Jaeger D.C. are for informational purposes only.