Organization
DEEP ROCK CHIROPRACTIC PC
Active
Other names
DEEP ROCK CHIROPRACTIC PC
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH WADE EDLUND DC (OWNER)
(218) 751-5910
Entity
Organization
Contact information
Practice address
1900 DIVISION ST W UNIT 7, BEMIDJI, MN 56601-6397
(218) 751-5910
(218) 444-5911
Mailing address
1900 DIVISION ST W UNIT 7, BEMIDJI, MN 56601-6397
(218) 751-5910
(218) 444-5911
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
12/20/2021
Last updated
12/20/2021
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