Organization
DEJONG CLINIC PLLC
Active
Other names
Elite Spine Chiropractic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BLAKE R DEJONG DC (OWNER)
(952) 797-3045
Entity
Organization
Contact information
Practice address
14675 MARTIN DR STE 100, EDEN PRAIRIE, MN 55344-2016
(952) 797-3045
Mailing address
14675 MARTIN DR STE 100, EDEN PRAIRIE, MN 55344-2016
(952) 797-3045
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
03/04/2022
Last updated
03/04/2022
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