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Individual

DR. TIM JORGENSEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
1002 FRONT STREET, CASSELTON, ND 58012
(701) 347-4300
(701) 347-4300
Mailing address
1002 FRONT STREET, CASSELTON, ND 58012
(701) 347-4300
(701) 347-4300

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
531
ND

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
021753
BS PROVIDER NUMBER
ND
Enumeration date
11/21/2006
Last updated
07/08/2007
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