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Organization

VITALITY CHIROPRACTIC P.A.

Active
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Organization

VITALITY CHIROPRACTIC P.A.

Active
Other names
Bemidji Family Chiropractic Center
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MATTHEW JOHN HENRIKSEN D.C. (PRESIDENT)
(218) 751-8099
Entity
Organization

Contact information

Practice address
5184 THEATER LANE NW, BEMIDJI, MN 56601
(218) 751-8099
Mailing address
PO BOX 875, BEMIDJI, MN 56619-0875
(218) 751-8099

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4890
MN

Other

Enumeration date
01/10/2007
Last updated
08/22/2020
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