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Individual

MARK TY HARDWICK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
4925 E 26TH ST, SIOUX FALLS, SD 57110-6950
(605) 334-7371
(605) 332-6616
Mailing address
27151 479TH AVE, HARRISBURG, SD 57032-8220
(605) 351-3645
(605) 332-6616

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1104
SD

Other

Enumeration date
01/08/2007
Last updated
07/08/2007
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