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Individual

DR. JEFFREY LYLE SOLTIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
32 E MAIN ST, WACONIA, MN 55387
(952) 442-9727
(952) 442-2031
Mailing address
32 E MAIN ST, WACONIA, MN 55387
(952) 442-9727
(952) 442-2031

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4609
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
650155900
MHCP
MN
05
650155900
MN
01
74M97S0
BCBS
MN
Enumeration date
03/05/2007
Last updated
07/08/2007
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