DR. JEFFREY JOHN WISDO D.C.
NPI 1124060017
Chiropractor in Woodbury, MN

Active since June 12, 2006
7060 VALLEY CREEK PLZ, #121, WOODBURY, MN 55125(651) 735-8646(651) 730-9210 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Jeffrey John Wisdo D.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JEFFREY JOHN WISDO D.C. (NPI 1124060017) is an individual chiropractor in Woodbury, Minnesota, licensed in Minnesota (4705) and active in the NPI registry since June 2006.

NPPES Registry Identity

NPI1124060017
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. JEFFREY JOHN WISDOCredential: D.C.
Location Address7060 VALLEY CREEK PLZ, #121Woodbury, MN 55125-2269
Mailing Address7060 Valley Creek Plz, #121Woodbury, MN 55125-2269 · (651) 735-8646 · Fax (651) 730-9210
Fax(651) 730-9210
Sole ProprietorYes
Enumeration DateJune 12, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1124060017 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License Licensed in MN · 4705
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
7060 VALLEY CREEK PLZ, Woodbury, MN 55125

Other Identifiers 2

Other724T6WIMN · Blue Cross
Medicare UPINU77608

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Durable Medical Equipment & Medical Supplies
7060 VALLEY CREEK PLZ, SUITE 113
WOODBURY, MN 55125
Prosthetic/Orthotic Supplier
7060 VALLEY CREEK PLZ, STE. 113
WOODBURY, MN 55125
Prosthetic/Orthotic Supplier
7060 VALLEY CREEK PLZ, SUITE 113
WOODBURY, MN 55125

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jeffrey Wisdo's NPI number?

The NPI number for Jeffrey Wisdo is 1124060017. It was assigned to this individual provider in the NPPES registry on June 12, 2006.

Where is Jeffrey Wisdo located?

Jeffrey Wisdo practices at 7060 Valley Creek Plz #121, Woodbury, MN 55125. The listed phone number is (651) 735-8646.

What is Jeffrey Wisdo's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

When was this NPI record last updated?

The NPPES record for Jeffrey Wisdo was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.