DR. Ken Wilson, DC

NPI #1508410101 in Ham Lake, Minnesota

Provider Information

NPI Number
1508410101
Entity Type
Individual
Name
DR. Ken Wilson, DC
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Chiropractor
Credential
DC
Enumeration Date
Jul 31, 2019
Last Updated
Jul 31, 2019

Practice Location

Address
3238 171ST AVE NE
ZIP Code
55304-5115
Phone
(612) 802-3646

Specialties & Taxonomy Codes

Specialty
Chiropractor

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