Individual
DR. JORDAN LEE WAGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
814 6TH STREET, DAWSON, MN 56232-5623
(320) 312-5000
Mailing address
PO BOX 306, DAWSON, MN 56232-0306
(320) 312-5000
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5884
MN
Other
Enumeration date
02/06/2014
Last updated
04/12/2021
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