Organization
ON THE GO CHIROPRACTIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JASON STADTHER D.C. (OWNER/CHIROPRACTOR)
(763) 244-8022
Entity
Organization
Contact information
Practice address
7586 63RD STREET CIR S, COTTAGE GROVE, MN 55016-6016
(763) 244-8020
(763) 244-8021
Mailing address
7586 63RD STREET CIR S, COTTAGE GROVE, MN 55016-6016
(763) 244-8020
(763) 244-8021
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC3945
MN
Other
Enumeration date
10/31/2014
Last updated
10/31/2014
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