Individual
DR. RYAN WILLIAM WADDELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
10995 CLUB WEST PKWY STE 400, BLAINE, MN 55449-5862
(763) 400-4940
Mailing address
10995 CLUB WEST PKWY STE 400, BLAINE, MN 55449-5862
(763) 400-4940
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
6017
MN
Other
Enumeration date
01/05/2015
Last updated
01/13/2015
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