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Organization
WEDGEWOOD CHIROPRACTIC, P.A.
Active
Organization
WEDGEWOOD CHIROPRACTIC, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN RICHARD DIXON D.C. (PRESIDENT AND CHIEF EXECUTIVE OFFIC)
(651) 731-5124
Entity
Organization
Contact information
Practice address
3060 WOODBURY DR, SUITE A, WOODBURY, MN 55129-9617
(651) 731-5124
(651) 731-0509
Mailing address
3060 WOODBURY DR, SUITE A, WOODBURY, MN 55129-9617
(651) 731-5124
(651) 731-0509
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
03N70WE
BCBS
MN
Enumeration date
06/01/2006
Last updated
05/07/2008
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