Organization
JASON O. WALLIN CHIROPRACTIC, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JASON O WALLIN DC (CHIROPRACTOR/OWNER)
(612) 721-2146
Entity
Organization
Contact information
Practice address
4717 HIAWATHA AVE SO, MINNEAPOLIS, MN 55406
(612) 721-2146
Mailing address
4717 HIAWATHA AVE SO, MINNEAPOLIS, MN 55406
(612) 721-2146
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3838
MN
Other
Enumeration date
03/02/2012
Last updated
03/16/2012
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