Individual
DR. MANDI LYNNE MIEDEMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
11605 MERIDIAN MARKET VW STE 142, FALCON, CO 80831-8238
(701) 830-0431
Mailing address
11605 MERIDIAN MARKET VW STE 142, FALCON, CO 80831-8238
(701) 830-0431
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
6600
CO
Other
Enumeration date
03/04/2009
Last updated
11/15/2010
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