Wedgewood Chiropractic, P.a.

NPI #1174560064 in Woodbury, Minnesota

Provider Information

NPI Number: 1174560064
Entity Type: Organization
Organization Name: Wedgewood Chiropractic, P.a.
Primary Specialty: Chiropractor
Enumeration Date: Jun 1, 2006
Last Updated: May 7, 2008

Practice Location

Address: 3060 WOODBURY DR
Address 2: SUITE A
City: Woodbury
State: Minnesota
ZIP Code: 55129-9617
Phone: (651) 731-5124

Authorized Official

Name: JOHN RICHARD DIXON, D.C.
Title: PRESIDENT AND CHIEF EXECUTIVE OFFIC
Phone: (651) 731-5124

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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