Individual
DR. JASON WENDELL PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
2738 WINNETKA AVE N, NEW HOPE, MN 55427-2850
(763) 546-8622
Mailing address
2738 WINNETKA AVE N, NEW HOPE, MN 55427-2850
(763) 546-8622
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5226
MN
Other
Enumeration date
05/14/2009
Last updated
06/09/2009
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