Organization
SUNDBERG CHIROPRACTIC, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACOB JARED SUNDBERG D.C. (PRESIDENT)
(612) 325-0308
Entity
Organization
Contact information
Practice address
14332 21ST AVE N, SUITE 100, PLYMOUTH, MN 55447-4631
(612) 325-0308
(763) 426-4252
Mailing address
8645 2ND AVE S, BLOOMINGTON, MN 55420-2924
(612) 325-0308
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4924
MN
Other
Enumeration date
10/28/2007
Last updated
10/28/2007
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