Healthcare Provider Details

I. General information

NPI: 1316071384
Provider Name (Legal Business Name): TROY WENDELL BJORKLUND D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/14/2007
Last Update Date: 12/15/2020
Certification Date: 12/15/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

700 TWELVE OAKS CENTER DRIVE SUITE 101
WAYZATA MN
55391
US

IV. Provider business mailing address

5050 W 36TH ST STE 100
ST LOUIS PARK MN
55416-5470
US

V. Phone/Fax

Practice location:
  • Phone: 952-893-8900
  • Fax: 952-893-7399
Mailing address:
  • Phone: 952-893-8900
  • Fax: 952-893-7399

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number3926
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: