NPI 1174560064

Wedgewood Chiropractic, P.A.

Organisation Chiropractor Woodbury, MN

Practice location

Address: 3060 Woodbury Dr Suite a, Woodbury, MN 55129-9617
Phone: (651) 731-5124
Fax: (651) 731-0509

Authorised official

Name: John Richard Dixon
Title: President and Chief Executive Offic
Phone: (651) 731-5124

Registered specialties

Chiropractor Primary

Chiropractic Providers Taxonomy 111N00000X

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Registry record

NPI: 1174560064
Entity type: Organization
NPI issued: 1 Jun 2006
Record last updated: 7 May 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.