Individual provider · Type 1 NPI

Jeffrey John Wisdo, DC

Chiropractor · Woodbury, MN

NPI number 1124060017 Active

Practice location

7060 Valley Creek Plz, #121
Woodbury, MN 55125-2269

Call (651) 735-8646 Map

Fax (651) 730-9210

Specialties and licenses

TaxonomyCodeLicense
Chiropractor Primary 111N00000X4705 (MN)

Chiropractor: 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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About NPI 1124060017

Jeffrey John Wisdo, DC's National Provider Identifier is 1124060017, issued on Jun 12, 2006. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Woodbury, MN. The record was last updated on Jul 8, 2007.