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Individual

JOSHUA TAIJ WATKINS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
6001 EGAN DR, SUITE 120, SAVAGE, MN 55378-4921
(952) 440-4553
(952) 440-4573
Mailing address
6001 EGAN DR, SUITE 120, SAVAGE, MN 55378-4921
(952) 440-4553
(952) 440-4573

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4204
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
457693400
MINNESOTA CARE
MN
01
67G17WA
BLUE CROSS BLUE SHIELD
MN
Enumeration date
08/31/2006
Last updated
09/06/2013
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