Individual
JERRY L WETTERLING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
103 N COLLEGE AVE, ST JOSEPH, MN 56374-0237
(320) 363-4573
(320) 363-1314
Mailing address
PO BOX 237, ST JOSEPH, MN 56374-0237
(320) 363-4573
(320) 363-1314
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1386
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0195
HEALTH SERVICES MNGMT
MN
01
—
230921
CHIROCARE
MN
Enumeration date
10/25/2006
Last updated
07/08/2007
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