Jo G Theisen Dc, PA
NPI #1952484602 in Brooklyn Park, Minnesota
Provider Information
- NPI Number
- 1952484602
- Entity Type
- Organization
- Organization Name
- Jo G Theisen Dc, PA
- Primary Specialty
- Chiropractor
- Enumeration Date
- Oct 23, 2006
- Last Updated
- Jan 12, 2022
Practice Location
- Address
- 8465 W BROADWAY AVE
- City
- Brooklyn Park
- State
- Minnesota
- ZIP Code
- 55445-2266
- Phone
- (763) 424-7750
Authorized Official
- Name
- SCOTT R THEISEN
- Title
- CLINIC DIRECTOR
- Phone
- (763) 424-7750
Specialties & Taxonomy Codes
| Specialty |
|---|
| Chiropractor |
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