Organization
MJ CHIROPRACTIC
Active
Other names
Bloom Lake Chiropractic
Organization subpart
No
Provider details
NPI number
Authorized official
JASON SMITH DC (OWNER)
(612) 721-1820
Entity
Organization
Contact information
Practice address
1527 E LAKE ST, SUITE 200A, MINNEAPOLIS, MN 55407-6700
(612) 721-1820
(612) 721-1828
Mailing address
1527 E LAKE ST, SUITE 200A, MINNEAPOLIS, MN 55407-6700
(612) 721-1820
(612) 721-1828
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3356
MN
Other
Enumeration date
06/13/2007
Last updated
08/22/2020
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