Organization
WELLNESS DIMENSIONS PC
Active
Other names
HealthSource of Bismarck
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN DEITZ DC (PRESIDENT)
(701) 222-8322
Entity
Organization
Contact information
Practice address
1051 E INTERSTATE AVE, BISMARCK, ND 58503-0551
(701) 222-8322
Mailing address
1051 E INTERSTATE AVE, BISMARCK, ND 58503-0551
(701) 222-8322
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
682
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
14838
—
ND
Enumeration date
05/09/2008
Last updated
09/28/2009
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