Individual
MRS. DORIAN L MATTSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
520 E AYER ST, IRONWOOD, MI 49938-2204
(906) 932-4605
(906) 932-4875
Mailing address
520 E AYER ST, IRONWOOD, MI 49938-2204
(906) 932-4605
(906) 932-4875
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2301007489
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38934400
—
WI
01
—
4361323
UPHP
MA
01
—
BLUE CROSS
950B710200
—
Enumeration date
06/22/2007
Last updated
09/04/2013
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