Individual
DR. JASON WING LOUIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2860 MIDDLE ST, LITTLE CANADA, MN 55117-1411
(651) 484-8783
Mailing address
2860 MIDDLE ST, LITTLE CANADA, MN 55117-1411
(651) 484-8783
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4425
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
573T3LO
BCBS
MN
Enumeration date
11/16/2006
Last updated
12/23/2019
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