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Organization

MARK W PEWE

Active
Other names
CHIROPRACTIC ARTS
Organization subpart
No

Provider details

NPI number
Authorized official
LISA ANN VAD (MANAGER)
(701) 228-2275
Entity
Organization

Contact information

Practice address
909 11 ST E, BOTTINEAU, ND 58318
(701) 228-2275
(701) 228-3080
Mailing address
PO BOX 59, BOTTINEAU, ND 58318-0059
(701) 228-2275
(701) 228-3080

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
415
ND

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
10276
ND
05
14716
ND
Enumeration date
12/24/2007
Last updated
12/24/2007
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