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NPI Code Detail

MEDICARE: MR. JON HWANG ORDNER

MEDICARE: MR. JON HWANG ORDNER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225700000XMassage TherapistMN

General Provider Information

NPI Number : 1871824789
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. JON HWANG ORDNER
Provider Business Mailing Address
First Line : 6545 FLYING CLOUD DR STE 100
Second Line :
City : EDEN PRAIRIE
State : MN
Zip : 55344-3320
Country : US
Telephone Number : 763-370-8425
Fax Number :
Provider Business Practice Location Address
First Line : 6545 FLYING CLOUD DR STE 100
Second Line :
City : EDEN PRAIRIE
State : MN
Zip : 55344-3320
Country : US
Telephone Number : 763-370-8425
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/18/2010
Last Update Date : 01/18/2010

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Directions to “ MR. JON HWANG ORDNER ” Practice Location

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