Individual provider · Type 1 NPI

Jacob Jared Sundberg, DC

Chiropractor · Maple Grove, MN

NPI number 1619096245 Active

Practice location

9555 Upland Ln N
Maple Grove, MN 55369-4485

Fax (529) 977-3172

Specialties and licenses

TaxonomyCodeLicense
Chiropractor Primary 111N00000X4924 (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 1619096245

Jacob Jared Sundberg, DC's National Provider Identifier is 1619096245, issued on Mar 28, 2007. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Maple Grove, MN. The record was last updated on Apr 25, 2022.