Organization
JEWETT LAKE ENTERPRISES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CLAY DANIELSON DC (CHIROPRACTOR)
(218) 205-5728
Entity
Organization
Contact information
Practice address
805 MAIN ST S, PINE CITY, MN 55063-1660
(218) 205-5728
Mailing address
17702 EDGEWATER RD NE, PINE CITY, MN 55063-4763
(218) 205-5728
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
04/08/2024
Last updated
04/08/2024
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