Dejong Clinic Pllc

NPI #1932856457 in Eden Prairie, Minnesota

Provider Information

NPI Number: 1932856457
Entity Type: Organization
Organization Name: Dejong Clinic Pllc
Primary Specialty: Chiropractor
Enumeration Date: Mar 4, 2022
Last Updated: Mar 4, 2022

Practice Location

Address: 14675 MARTIN DR STE 100
City: Eden Prairie
State: Minnesota
ZIP Code: 55344-2016
Phone: (952) 797-3045

Authorized Official

Name: DR. BLAKE R DEJONG, DC
Title: OWNER
Phone: (952) 797-3045

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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