NPI 1235581059

Wertish Chiropractic, LLC

Organisation Health Maintenance Organization Minneapolis, MN

Practice location

Address: 401 N 3rd St STE 220, Minneapolis, MN 55401-1349
Phone: (320) 522-1316
Mailing address: 42720 795th Ave, Hector, MN 55342-1204

Authorised official

Name: Jaclyn Wertish
Title: Chiropractor
Phone: (320) 522-1316

Registered specialties

Health Maintenance Organization Primary

Managed Care Organizations Taxonomy 302R00000X Licence 6224 (MN)

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Registry record

NPI: 1235581059
Entity type: Organization
NPI issued: 5 Jul 2016
Record last updated: 5 Jul 2016

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.