Individual
JACKSON MARTEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
3570 LEXINGTON AVE N STE 208, SHOREVIEW, MN 55126-8058
(651) 400-7026
Mailing address
2800 RUSTIC PL APT 209, LITTLE CANADA, MN 55117-1398
(712) 269-5901
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
7294
MN
Other
Enumeration date
12/30/2024
Last updated
12/30/2024
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