Provider Demographics
NPI:1861544900
Name:FLEISNER, JASON DAVIS (DC)
Entity type:Individual
Prefix:DR
First Name:JASON
Middle Name:DAVIS
Last Name:FLEISNER
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
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Mailing Address - Street 1:730 WEST VILLAGE ROAD
Mailing Address - Street 2:#106
Mailing Address - City:CHANHASSEN
Mailing Address - State:MN
Mailing Address - Zip Code:55317-7532
Mailing Address - Country:US
Mailing Address - Phone:612-384-7480
Mailing Address - Fax:952-835-6653
Practice Address - Street 1:5001 AMERICAN BLVD W
Practice Address - Street 2:#945
Practice Address - City:BLOOMINGTON
Practice Address - State:MN
Practice Address - Zip Code:55437-1162
Practice Address - Country:US
Practice Address - Phone:952-835-6653
Practice Address - Fax:952-835-3895
Is Sole Proprietor?:No
Enumeration Date:2007-01-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MN4718111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor