Organization
ALISA T MITSKOG, P.C.
Active
Organization
ALISA T MITSKOG, P.C.
Active
Other names
Mitskog Chiropractic Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALISA T MITSKOG DC (PRESIDENT)
(701) 642-6444
Entity
Organization
Contact information
Practice address
319 11TH ST N, WAHPETON, ND 58075-4111
(701) 642-6444
Mailing address
PO BOX 1461, WAHPETON, ND 58074-1461
(701) 642-6444
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
500
ND
Other
Enumeration date
03/16/2011
Last updated
10/13/2015
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