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Organization
BACK SPECIALISTS OF THE MIDWEST LLC
Active
Organization
BACK SPECIALISTS OF THE MIDWEST LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRUCE JON HAGEN DC (OWNER)
(605) 361-1700
Entity
Organization
Contact information
Practice address
5109 S CROSSING PL, STE 1, SIOUX FALLS, SD 57108-5076
(605) 361-1700
(605) 361-0113
Mailing address
5109 S CROSSING PL, STE 1, SIOUX FALLS, SD 57108-5076
(605) 361-1700
(605) 361-0113
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
714
SD
225100000X
Physical Therapist
1351
SD
Other
Enumeration date
09/13/2006
Last updated
09/28/2015
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