Jewett Lake Enterprises

NPI #1831942242 in Pine City, Minnesota

Provider Information

NPI Number
1831942242
Entity Type
Organization
Organization Name
Jewett Lake Enterprises
Primary Specialty
Clinic/Center - Health Service
Enumeration Date
Apr 8, 2024
Last Updated
Apr 8, 2024

Practice Location

Address
805 MAIN ST S
ZIP Code
55063-1660
Phone
(218) 205-5728

Authorized Official

Name
DR. CLAY DANIELSON, DC
Title
CHIROPRACTOR
Phone
(218) 205-5728

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Health ServiceHealth Service

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