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Organization
MIDWEST CHIROPRACTIC & REHABILITATION CENTRE
Active
Organization
MIDWEST CHIROPRACTIC & REHABILITATION CENTRE
Active
Other names
Waukee Wellness & Chiropractic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEVIN DICKHAUT D.C. (DOCTOR OWNER)
(515) 978-6661
Entity
Organization
Contact information
Practice address
710 ALICES RD, WAUKEE, IA 50263-9646
(515) 978-6661
(515) 978-6662
Mailing address
710 ALICES RD, WAUKEE, IA 50263-9646
(515) 978-6661
(515) 978-6662
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
06870
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0486332
—
IA
05
—
0486340
—
IA
Enumeration date
05/23/2006
Last updated
02/04/2009
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