Individual
JARED SCOTT BEDOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
623 WALLACE ST APT 6, NEW LONDON, WI 54961-2181
(920) 850-2507
Mailing address
623 WALLACE ST APT 6, NEW LONDON, WI 54961-2181
(920) 850-2507
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5233-12
WI
Other
Enumeration date
02/02/2017
Last updated
02/02/2017
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