Organization
JASON WING LOUIE CHIROPRACTIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JASON WING LOUIE D.C. (OWNER / CHIROPRACTOR)
(651) 484-8783
Entity
Organization
Contact information
Practice address
2489 RICE ST, #130, ROSEVILLE, MN 55113-3738
(651) 484-8783
(651) 484-8782
Mailing address
2489 RICE ST, #130, ROSEVILLE, MN 55113-3738
(651) 484-8783
(651) 484-8782
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4425
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
573T3LO
BCBS
MN
Enumeration date
01/03/2008
Last updated
01/07/2008
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