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Individual
DR. JASON LAVERN EGGERS
Active
Individual
DR. JASON LAVERN EGGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, DC
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
2922
MN
208100000X
Physical Medicine & Rehabilitation Physician
54681
MN
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
54681
MN
Other
Enumeration date
05/05/2006
Last updated
08/16/2024
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