Organization
MOSENG CHIROPRACTIC PLLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BROCK J MADSEN DC (OWNER)
(320) 269-7135
Entity
Organization
Contact information
Practice address
525 LEGION DR STE 1, MONTEVIDEO, MN 56265-1723
(320) 269-7135
(320) 269-7583
Mailing address
525 LEGION DR STE 1, MONTEVIDEO, MN 56265-1723
(320) 269-7135
(320) 269-7583
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
6138
MN
111NS0005X
Sports Physician Chiropractor
Primary
2209
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
647527200
—
MN
Enumeration date
12/21/2017
Last updated
01/02/2018
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