Individual
DR. NICHOLAS MIDTHUNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1602 30TH AVE S, MOORHEAD, MN 56560-5152
(218) 233-4402
Mailing address
4168 40TH AVE S, MOORHEAD, MN 56560-7502
(701) 238-4742
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4699
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
25688
BLUECROSS BLUESHIELD OF N
ND
05
—
296917300
—
MN
Enumeration date
08/16/2006
Last updated
01/02/2024
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