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Individual

MICHAEL K POWELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DC DACNB

Contact information

Practice address
1310 TOWER LN NE, CEDAR RAPIDS, IA 52402-7488
(319) 366-2518
(319) 366-5002
Mailing address
1310 TOWER LN NE, CEDAR RAPIDS, IA 52402-7488
(319) 366-2518
(319) 366-5002

Taxonomy

Speciality
Code
Description
License number
State
111NN0400X
Neurology Chiropractor
Primary
A05946
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
57354
BLUE CROSS BLUE SHIELD
IA
Enumeration date
02/07/2006
Last updated
03/04/2014
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