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Organization
FOUNDATION INTERESTS GROUP, P.C.
Active
Organization
FOUNDATION INTERESTS GROUP, P.C.
Active
Other names
Specific Chiropractic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRANDON MICKELSON D.C. (PRESIDENT)
(507) 320-1555
Entity
Organization
Contact information
Practice address
2001 2ND ST SW, SUITE 125, ROCHESTER, MN 55902-4156
(507) 320-1555
Mailing address
835 40TH ST NW, SUITE 217, ROCHESTER, MN 55901-4248
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5904
MN
Other
Enumeration date
06/02/2016
Last updated
07/25/2016
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