Organization
JOSEPH WADE EDLUND PC
Active
Other names
EDLUND CHIROPRACTIC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH WADE EDLUND D.C. (PRESIDENT)
(218) 751-5910
Entity
Organization
Contact information
Practice address
140 PAUL BUNYAN DR NW, BEMIDJI, MN 56601-2440
(218) 751-5910
(218) 444-5911
Mailing address
140 PAUL BUNYAN DR NW, BEMIDJI, MN 56601-2440
(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
05
—
460943200
—
MN
01
—
OBF43ED
BCBS OF MN
MN
Enumeration date
07/08/2009
Last updated
01/28/2011
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