NPI 1730816661

Wildwood Wellness LLC

Organisation Chiropractor Mahtomedi, MN

Practice location

Address: 744 Wildwood Rd, Mahtomedi, MN 55115-1852
Phone: (651) 300-4377
Mailing address: 312 Warner Ave S, Willernie, MN 55090-7702

Authorised official

Name: Josh Hague
Title: Owner
Phone: (651) 249-5170

Registered specialties

Chiropractor Primary

Chiropractic Providers Taxonomy 111N00000X

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Registry record

NPI: 1730816661
Entity type: Organization
NPI issued: 2 Aug 2022
Record last updated: 2 Aug 2022

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.