Individual
DR. MICHAEL ROBERT WILES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
5017 WEST 106TH STREET, BLOOMINGTON, MN 55437
(952) 835-5451
Mailing address
5017 WEST 106TH STREET, BLOOMINGTON, MN 55437
(952) 835-5451
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4842
MN
Other
Enumeration date
05/02/2007
Last updated
07/08/2007
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