Individual provider · Type 1 NPI
Jason Owen Wallin, DC
Chiropractor · Minneapolis, MN
NPI number
1679628309
Active
Practice location
4717 Hiawatha Ave
Minneapolis, MN 55406-3928
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | 3838 (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 1679628309
Jason Owen Wallin, DC's National Provider Identifier is 1679628309, issued on Jan 24, 2007. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Minneapolis, MN. The record was last updated on Jul 8, 2007.