Individual
DR. JOSHUA RICHARD JAEGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
4719 BANNING AVE, WHITE BEAR LAKE, MN 55110-3217
(651) 429-2279
(651) 429-4361
Mailing address
4719 BANNING AVE, WHITE BEAR LAKE, MN 55110-3217
(651) 429-2279
(651) 429-4361
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
6517
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
457693400
—
MN
Enumeration date
06/18/2018
Last updated
03/07/2019
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