Provider Demographics
NPI:1184036626
Name:JOZWIAK, PATRICK LOUIS JR (DC)
Entity Type:Individual
Prefix:DR
First Name:PATRICK
Middle Name:LOUIS
Last Name:JOZWIAK
Suffix:JR
Gender:M
Credentials:DC
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Mailing Address - Street 1:3800 CENTERVILLE RD
Mailing Address - Street 2:#324
Mailing Address - City:WHITE BEAR LAKE
Mailing Address - State:MN
Mailing Address - Zip Code:55127
Mailing Address - Country:US
Mailing Address - Phone:651-429-0101
Mailing Address - Fax:651-407-3163
Practice Address - Street 1:1310 HIGHWAY 96 E
Practice Address - Street 2:SUITE #206
Practice Address - City:WHITE BEAR LAKE
Practice Address - State:MN
Practice Address - Zip Code:55110-3624
Practice Address - Country:US
Practice Address - Phone:651-429-0101
Practice Address - Fax:651-407-3163
Is Sole Proprietor?:Yes
Enumeration Date:2014-06-02
Last Update Date:2014-06-02
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Provider Licenses
StateLicense IDTaxonomies
MN5513111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor