Organization
LIFETIME WELLNESS CENTER, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JESSE C. PLOESSL D.C. (PRESIDENT)
(763) 559-5627
Entity
Organization
Contact information
Practice address
14215 44TH PL N, #6, PLYMOUTH, MN 55446-2344
(763) 559-5627
Mailing address
14215 44TH PL N, #6, PLYMOUTH, MN 55446-2344
(763) 559-5627
(763) 559-5627
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4505
MN
Other
Enumeration date
07/08/2006
Last updated
08/30/2007
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