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Organization
TRI-STATES CLINIC OF CHIROPRACTIC, P.C.
Active
Organization
TRI-STATES CLINIC OF CHIROPRACTIC, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DENNIS MICHAEL O'DONNELL D.C. (PRESIDENT)
(563) 585-0800
Entity
Organization
Contact information
Practice address
419 N GRANDVIEW AVE, STE 200, DUBUQUE, IA 52001-6363
(563) 585-0800
Mailing address
419 N GRANDVIEW AVE, STE 200, DUBUQUE, IA 52001-6363
(563) 585-0800
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
06694
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0456202
—
IA
Enumeration date
01/19/2007
Last updated
08/22/2020
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