Individual
DR. RAYMOND W MIELKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
131 BROADWAY AVE SO, NEW RICHLAND, MN 56072
(507) 463-3811
(507) 463-3812
Mailing address
PO BOX 441, NEW RICHLAND, MN 56072-0441
(507) 463-3811
(507) 463-3812
Taxonomy
Speciality
Code
Description
License number
State
111NX0800X
Orthopedic Chiropractor
Primary
1496
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3K036GR
BCBS PRACTICE
MN
01
—
3K037MI
BCBS INDIVIDUAL
MN
05
—
709825100
—
MN
Enumeration date
08/12/2005
Last updated
07/09/2007
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