Individual
DR. JON LEE WHEELER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
225 MILLARD AVENUE, COKATO, MN 55321-0457
(320) 286-6478
(320) 286-6507
Mailing address
PO BOX 457, COKATO, MN 55321-0457
(320) 286-6478
(320) 286-6507
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
003483
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
474809300
—
MN
01
—
476R6WH
BLUE CROSS BLUE SHIELD
MN
Enumeration date
12/11/2006
Last updated
01/09/2020
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