DR. Ryan William Waddell, D.C.

NPI #1063800704 in Blaine, Minnesota

Provider Information

NPI Number: 1063800704
Entity Type: Individual
Name: DR. Ryan William Waddell, D.C.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Chiropractor
Credential: D.C.
Enumeration Date: Jan 5, 2015
Last Updated: Jan 13, 2015

Practice Location

Address: 10995 CLUB WEST PKWY STE 400
City: Blaine
State: Minnesota
ZIP Code: 55449-5862
Phone: (763) 400-4940

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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