Health Source of Woodbury PA

NPI #1447401971 in Woodbury, Minnesota

Provider Information

NPI Number
1447401971
Entity Type
Organization
Organization Name
Health Source of Woodbury PA
Primary Specialty
Clinic/Center
Enumeration Date
Oct 2, 2008
Last Updated
Oct 2, 2008

Practice Location

Address
7060 VALLEY CREEK PLZ STE 121
ZIP Code
55125-2269
Phone
(651) 735-8646

Authorized Official

Name
DR. JEFFREY J. WISDO, D.C.
Title
OWNER
Phone
(651) 735-8646

Specialties & Taxonomy Codes

Specialty
Clinic/Center

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