Individual
DR. JON FREDERIC THEURER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
323 6TH ST NE, STAPLES, MN 56479-2355
(218) 894-1737
(218) 894-1737
Mailing address
323 6TH ST NE, STAPLES, MN 56479-2355
(218) 894-1737
(218) 894-1737
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1216
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
85269TH
BCBS
MN
Enumeration date
08/30/2006
Last updated
07/08/2007
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