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Dr. Blake R Dejong
Chiropractor in Eden Prairie, Minnesota
NPI 1689321101

Blake R Dejong is a Chiropractor based in Eden Prairie, MN. Blake R Dejong practices in Eden Prairie, MN. The NPI Number for Blake R Dejong is 1689321101 and holds a License No. 6850 (Minnesota).

The current practice location address for Blake R Dejong is 14675 Martin Dr Ste 100, Eden Prairie, MN and can be reached out via phone at 952-797-3045.

Location: 14675 Martin Dr Ste 100, Eden Prairie, MN, 55344-2016
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1689321101
Provider Name
Blake R Dejong
Credential
Provider Entity Type
Individual
Gender
Male
Address
14675 Martin Dr Ste 100, Eden Prairie, MN, 55344-2016
Phone Number
952-797-3045
Fax Number
Provider Enumeration Date
03/04/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
14675 Martin Dr Ste 100
City
Eden Prairie
State
Minnesota
Zip
55344-2016
Phone Number
952-797-3045
Fax Number
person
Provider Business Mailing Address Details
Address
14675 Martin Dr Ste 100
City
Eden Prairie
State
Minnesota
Zip
55344-2016
Phone Number
952-797-3045
Fax Number
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
6850 (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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