DR. JERROLD RICHARD WILDENAUER DC
NPI 1720091051
Chiropractor in West Saint Paul, MN

Active since August 15, 2006
1525 LIVINGSTON AVE, WEST SAINT PAUL, MN 55118(651) 455-5264(651) 455-1172 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Jerrold Richard Wildenauer Dc NPPES

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

DR. JERROLD RICHARD WILDENAUER DC (NPI 1720091051) is an individual chiropractor in West Saint Paul, Minnesota, licensed in Minnesota (1475) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1720091051
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. JERROLD RICHARD WILDENAUERCredential: DC
Location Address1525 LIVINGSTON AVEWest Saint Paul, MN 55118-3411
Mailing Address1525 Livingston AveWest Saint Paul, MN 55118-3411 · (651) 455-5264 · Fax (651) 455-1172
Fax(651) 455-1172
Sole ProprietorNo
Enumeration DateAugust 15, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1720091051 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License Licensed in MN · 1475
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.

1525 LIVINGSTON AVE, West Saint Paul, MN 55118

Other Identifiers 1

Medicare UPINT39931

Other Providers at the Same Location NPPES 6

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

Dentist (General Practice)
1525 LIVINGSTON AVE
WEST SAINT PAUL, MN 55118
Chiropractor
1525 LIVINGSTON AVE
WEST SAINT PAUL, MN 55118
Dentist
1525 LIVINGSTON AVE, SUITE B
W. ST. PAUL, MN 55118
Chiropractor
1525 LIVINGSTON AVE
WEST ST PAUL, MN 55118
Chiropractor
1525 LIVINGSTON AVE
SAINT PAUL, MN 55118
Student in an Organized Health Care Education/Training Program
1525 LIVINGSTON AVE
WEST SAINT PAUL, MN 55118

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1720091051, enumerated as an "individual" on August 15, 2006.

The provider is located at 1525 LIVINGSTON AVE WEST SAINT PAUL, MN 55118 and the phone number is (651) 455-5264.

Chiropractor with taxonomy code 111N00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.