Individual
DR. JACOB JAMES MOOTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
951 PAYNE AVE, SAINT PAUL, MN 55101-4003
(651) 774-7016
(651) 774-7016
Mailing address
5007 28TH AVE S, APT. #2, MINNEAPOLIS, MN 55417-1351
(651) 774-7016
(651) 774-7016
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4895
MN
Other
Enumeration date
01/01/2007
Last updated
07/08/2007
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