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Dr. Jason Owen Wallin, DC
Chiropractor in Minneapolis, Minnesota
NPI 1679628309

Jason Owen Wallin is a Chiropractor based in Minneapolis, MN. Jason Owen Wallin practices in Minneapolis, MN and has the professional credentials of DC. The NPI Number for Jason Owen Wallin is 1679628309 and holds a License No. 3838 (Minnesota).

The current practice location address for Jason Owen Wallin is 4717 Hiawatha Ave, Minneapolis, MN and can be reached out via phone at 612-721-2146.

Location: 4717 Hiawatha Ave, Minneapolis, MN, 55406-3928
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1679628309
Provider Name
Jason Owen Wallin
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
4717 Hiawatha Ave, Minneapolis, MN, 55406-3928
Phone Number
612-721-2146
Fax Number
Provider Enumeration Date
01/24/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
55F56BL 01 MN BCBS
institution
Provider Business Practice Location Address Details
Address
4717 Hiawatha Ave
City
Minneapolis
State
Minnesota
Zip
55406-3928
Phone Number
612-721-2146
Fax Number
person
Provider Business Mailing Address Details
Address
4717 Hiawatha Ave
City
Minneapolis
State
Minnesota
Zip
55406-3928
Phone Number
612-721-2146
Fax Number
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
3838 (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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