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Individual

DR. JOSEPH WADE EDLUND

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
1900 DIVISION ST W UNIT 7, BEMIDJI, MN 56601-6397
(218) 751-5910
(218) 444-5911
Mailing address
1900 DIVISION ST W UNIT 7, BEMIDJI, MN 56601-6397
(218) 751-5910
(218) 444-5911

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2942
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
3K873ED
BLUE CROSS/BLUE SHIELD MN
MN
05
616528100
MN
Enumeration date
10/23/2006
Last updated
12/10/2019
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