Individual
JEREMY JOHN NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
104 PARK AVE N, SUITE 101, PARK RAPIDS, MN 56470-1598
(218) 366-2174
(218) 366-2175
Mailing address
716 1ST ST E, SUITE 101, PARK RAPIDS, MN 56470-1707
(218) 366-2174
(218) 366-2175
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5635
MN
Other
Enumeration date
12/09/2011
Last updated
12/07/2016
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