Organization
NORTHWESTERN HEALTH SCIENCES UNIVERSITY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN B WOLFE JR. D.C.,J.D. (COMPLIANCE OFFICER)
(952) 888-4777
Entity
Organization
Contact information
Practice address
2501 W 84TH ST, BLOOMINGTON, MN 55431-1602
(952) 888-4777
(952) 886-7590
Mailing address
2501 WEST 84TH STREET, BLOOMINGTON, MN 55431-1599
(952) 888-4777
(952) 886-7590
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7261471
—
MN
Enumeration date
10/25/2006
Last updated
12/27/2021
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