Individual
JASON WADE DIXON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
140 PAUL BUNYAN DR NW, BEMIDJI, MN 56601-2440
(218) 751-5910
Mailing address
140 PAUL BUNYAN DR NW, BEMIDJI, MN 56601-2440
(218) 751-5910
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5309
MN
Other
Enumeration date
04/06/2010
Last updated
01/06/2016
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