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Dr. Jeremy Glen Marty, DC
Chiropractor in Lakeville, Minnesota
NPI 1104283928

Jeremy Glen Marty is a Chiropractor based in Lakeville, MN. Jeremy Glen Marty practices in Lakeville, MN and has the professional credentials of DC. The NPI Number for Jeremy Glen Marty is 1104283928 and holds a License No. 6189 (Minnesota).

The current practice location address for Jeremy Glen Marty is 18476 Kenrick Ave, Lakeville, MN and can be reached out via phone at 612-440-5776 and via fax at 952-236-6732.

Location: 18476 Kenrick Ave, Lakeville, MN, 55044-9288
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1104283928
Provider Name
Jeremy Glen Marty
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
18476 Kenrick Ave, Lakeville, MN, 55044-9288
Phone Number
612-440-5776
Fax Number
952-236-6732
Provider Enumeration Date
01/25/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
18476 Kenrick Ave
City
Lakeville
State
Minnesota
Zip
55044-9288
Phone Number
612-440-5776
Fax Number
952-236-6732
person
Provider Business Mailing Address Details
Address
18476 Kenrick Ave
City
Lakeville
State
Minnesota
Zip
55044-9288
Phone Number
612-440-5776
Fax Number
952-236-6732
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
6189 (Minnesota)
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
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