Healthsource Of Sioux Falls West Pc

NPI 1457699761 - Chiropractor - 111N00000X

NPI Details
NPI 1457699761
Enumeration Date 01/21/2013
Last Updated 01/21/2013
Entity Type Healthcare Provider
Active Over 3 years ago
Authorized Information
Name MICHAEL TIMOTHY MICHAEL
Position PRESIDENT
Phone (605) 275-0040
Fax (605) 275-0041
Practice Location
6705 W 41ST ST
SIOUX FALLS SD, 57106-1290, US
Phone (605) 275-0040
Fax (605) 275-0041
Business Location
6705 W 41ST ST
SIOUX FALLS SD, 57106-1290, US
Phone (605) 275-0040
Fax (605) 275-0041
Toxanomy
Taxonomy Code 111N00000X
License State South Dakota
License Number 1225
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According to our database, Healthsource Of Sioux Falls West Pc NPI is 1457699761, taxonomy code is 111N00000X and license number is 1225, license state is located at South Dakota. Healthsource Of Sioux Falls West Pc physically located at 6705 W 41st St, Sioux Falls SD, 57106-1290. NPI Number 1033115704 has the healthcare provider type.

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1457699761 NPI number is provided on an as is basis without warranty of any kind. 1457699761 is maintained by the National Plan & Provider Enumeration System. The contents of Healthsource Of Sioux Falls West Pc are for informational purposes only.