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Organization
MICHAELSEN CHIROPRACTIC CENTER, P.C.
Active
Organization
MICHAELSEN CHIROPRACTIC CENTER, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK R MICHAELSEN D.C. (PRESIDENT)
(903) 593-5200
Entity
Organization
Contact information
Practice address
645 S BROADWAY AVE, SUITE 1, TYLER, TX 75701-1676
(903) 593-5200
(903) 535-9412
Mailing address
645 S BROADWAY AVE, SUITE 1, TYLER, TX 75701-1676
(903) 593-5200
(903) 535-9412
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
F002316
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00H42E
BCBS
TX
Enumeration date
01/10/2008
Last updated
01/16/2013
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