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Individual

DR. JOSHUA WALLERT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
4490 ERIN DR, EAGAN, MN 55122
(651) 209-9906
Mailing address
4490 ERIN DR, EAGAN, MN 55122-2357
(651) 209-9906

Taxonomy

Speciality
Code
Description
License number
State
111NN0400X
Neurology Chiropractor
0007075
CO
111NN0400X
Neurology Chiropractor
Primary
6545
MN

Other

Enumeration date
11/07/2013
Last updated
06/13/2019
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