Crow Wing Chiropractic PC

NPI #1154741288 in Baxter, Minnesota

Provider Information

NPI Number: 1154741288
Entity Type: Organization
Organization Name: Crow Wing Chiropractic PC
Primary Specialty: Chiropractor
Enumeration Date: Apr 16, 2014
Last Updated: Jun 4, 2014

Practice Location

Address: 15229 EDGEWOOD DR STE 125
City: Baxter
State: Minnesota
ZIP Code: 56401-6920
Phone: (218) 205-1908

Authorized Official

Name: DR. JEDEDIAH MOORE, D.C.
Title: CHIROPRACTOR
Phone: (218) 205-1908

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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