Individual
DR. JON HAEFNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
205 2TH ST SW, WILLMAR, MN 56201
(320) 214-0044
(320) 214-0045
Mailing address
205 2TH ST SW, WILLMAR, MN 56201
(320) 214-0044
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4176
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
062M2HA
BCBS PROVIDER
MN
Enumeration date
04/20/2007
Last updated
06/02/2008
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