Michael D Jacklitch D.C.

NPI 1477674794 - Chiropractor - 111N00000X

NPI Details
NPI 1477674794
Gender Male
Enumeration Date 04/03/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
320 DAKOTA AVE
WAHPETON ND, 58075-4515, US
Phone (701) 642-5600
Fax (701) 642-8354
Business Location
320 DAKOTA AVE
WAHPETON ND, 58075-4515, US
Phone (701) 642-5600
Fax (701) 642-8354
Toxanomy
Taxonomy Code 111N00000X
License State Minnesota
License Number 1381
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According to our database, Dr. Michael D Jacklitch D.C. NPI is 1477674794, taxonomy code is 111N00000X and license number is 1381, license state is located at Minnesota. Michael D Jacklitch D.C. physically located at 320 Dakota Ave, Wahpeton ND, 58075-4515. NPI Number Michael D Jacklitch D.C. has the Individual type.

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1477674794 NPI number is provided on an as is basis without warranty of any kind. 1477674794 is maintained by the National Plan & Provider Enumeration System. The contents of Michael D Jacklitch D.C. are for informational purposes only.