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Organization
DMR CLINIC ROGERS LLC
Active
Organization
DMR CLINIC ROGERS LLC
Active
Other names
Ripple Health Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHLYNN HEIDE D.C. (CHIROPRACTOR)
(612) 670-9026
Entity
Organization
Contact information
Practice address
9000 QUANTRELLE AVE NE STE 240, OTSEGO, MN 55330-1022
(763) 432-9866
Mailing address
9000 QUANTRELLE AVE NE STE 240, OTSEGO, MN 55330-1022
(763) 432-9866
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5257
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
350004449
MEDICARE ID
MN
Enumeration date
10/15/2016
Last updated
03/07/2023
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