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Organization
FIELD CHIROPRACTIC LLC
Active
Organization
FIELD CHIROPRACTIC LLC
Active
Other names
Fergus Falls Chiropractic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JILL P IVERSON D.C. (OWNER)
(218) 998-2881
Entity
Organization
Contact information
Practice address
1304 W LINCOLN AVE, FERGUS FALLS, MN 56537-4818
(218) 998-2881
(218) 998-2882
Mailing address
1304 W LINCOLN AVE, FERGUS FALLS, MN 56537-4818
(218) 998-2881
(218) 998-2882
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4966
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1669672200
—
MN
Enumeration date
09/28/2011
Last updated
09/28/2011
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