Individual
DR. JASON JOHN O'DONNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
23505 SMITHTOWN RD, SUITE 100, EXCELSIOR, MN 55331-4541
(952) 470-8555
(952) 401-8785
Mailing address
23505 SMITHTOWN RD, SUITE 100, EXCELSIOR, MN 55331-4541
(952) 470-8555
(952) 401-8785
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
007281
IA
Other
Enumeration date
02/22/2010
Last updated
02/22/2010
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