Individual
JAY RILEY BULFER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
1800 NORTH STATE, WASECA, MN 56093
(507) 461-5260
Mailing address
39621 150TH STREET, WASECA, MN 56093
(507) 461-5260
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
7120
MN
Other
Enumeration date
07/12/2023
Last updated
07/12/2023
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