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Organization
JOSEPH WADE EDLUND PC
Active
Organization
JOSEPH WADE EDLUND PC
Active
Other names
EDLUND CHIROPRACTIC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH WADE EDLUND D.C. (PRESIDENT)
(218) 751-5910
Entity
Organization
Contact information
Practice address
140 PAUL BUNYAN DR NW, BEMIDJI, MN 56601-2440
(218) 751-5910
(218) 444-5911
Mailing address
140 PAUL BUNYAN DR NW, BEMIDJI, MN 56601-2440
(218) 751-5910
(218) 444-5911
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2942
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
460943200
—
MN
01
—
OBF43ED
BCBS OF MN
MN
Enumeration date
07/08/2009
Last updated
01/28/2011
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