DR. Jason Michael Fredericks, DC
NPI #1669689295 in Bloomington, Minnesota
Provider Information
- NPI Number
- 1669689295
- Entity Type
- Individual
- Name
- DR. Jason Michael Fredericks, DC
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Chiropractor
- Credential
- DC
- Enumeration Date
- May 16, 2007
- Last Updated
- Mar 6, 2017
Practice Location
- Address
- 8200 HUMBOLDT AVE S STE 204
- City
- Bloomington
- State
- Minnesota
- ZIP Code
- 55431-1432
- Phone
- (952) 884-6144
Specialties & Taxonomy Codes
| Specialty |
|---|
| Chiropractor |
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