Individual
DR. ROBERT DONALD WADDELL III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
12099 LAKE BLVD, LINDSTROM, MN 55045-9322
(651) 257-1103
(651) 257-1552
Mailing address
12099 LINDSTROM LN, LINDSTROM, MN 55045-9543
(651) 257-1103
(651) 257-1552
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5301
MN
Other
Enumeration date
10/23/2009
Last updated
02/12/2020
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