Organization
SHINE FOR HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL C SHINE D.C. (PRESIDENT)
(712) 943-1755
Entity
Organization
Contact information
Practice address
400 WILD PLUM WAY, SERGEANT BLUFF, IA 51054-3502
(712) 943-1755
Mailing address
400 WILD PLUM WAY, SERGEANT BLUFF, IA 51054-3502
(712) 943-1755
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
06954
IA
Other
Enumeration date
09/14/2007
Last updated
09/14/2007
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