OrganizationActive
Jewett Lake Enterprises
NPI 1831942242 · Health Service Clinic/Center · Pine City, MN
Provider details
- NPI number
- 1831942242
- Entity type
- Organization
- Primary specialty
- Health Service Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Clay Danielson, Chiropractor(218) 205-5728
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
805 Main St S
Pine City, MN 55063-1660
Phone: (218) 205-5728
Approximate (ZIP-level) locationGet directions
Mailing address
17702 Edgewater Rd Ne
Pine City, MN 55063-4763
Registry dates
- Enumerated
- 2024-04-08
- Last updated
- 2024-04-08
- Certified
- 2024-04-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.