Individual
JACK VICTOR LUNDBOHM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
317 2ND ST NW STE A, ROSEAU, MN 56751
(218) 463-2992
(218) 463-1229
Mailing address
317 2ND ST NW STE A, ROSEAU, MN 56751
(218) 463-2992
(218) 463-1229
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1792
MN
Other
Enumeration date
09/22/2006
Last updated
09/07/2023
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