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Organization
JAG HEALTH LLC
Active
Organization
JAG HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEVEN WYNIA PT (OWNER)
(763) 299-5677
Entity
Organization
Contact information
Practice address
13640 OLIVIA CT, BECKER, MN 55308-9381
(763) 299-5677
Mailing address
13640 OLIVIA CT, BECKER, MN 55308-9381
(763) 299-5677
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
NULL
225100000X
Physical Therapist
Primary
—
—
363L00000X
Nurse Practitioner
—
NULL
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
02/27/2023
Last updated
06/24/2025
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