Individual
DR. JAY ERIC WANKEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
1226 4TH AVE E STE 140, SHAKOPEE, MN 55379-3641
(612) 787-7246
Mailing address
1226 4TH AVE E STE 140, SHAKOPEE, MN 55379-3641
(612) 787-7246
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
3735-012
WI
111N00000X
Chiropractor
Primary
4021
MN
Other
Enumeration date
08/25/2006
Last updated
04/23/2019
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