Organization
ACUTECHIRO, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TJODE MICKELSON DC (OWNER)
(314) 398-5800
Entity
Organization
Contact information
Practice address
117 S 4TH ST, FOREST CITY, IA 50436-1743
(641) 582-2080
(641) 582-2080
Mailing address
117 S 4TH ST, FOREST CITY, IA 50436-1743
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
06906
IA
Other
Enumeration date
02/18/2015
Last updated
02/18/2015
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