Individual
ADAM JAMES MANNINEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
3508 LARAMIE DR STE 3, BOZEMAN, MT 59718-2006
(989) 387-8456
Mailing address
1207 MICHIGAN ST, STE B, SANDPOINT, ID 83864-6608
(208) 265-2225
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIA-2019
ID
Other
Enumeration date
08/23/2010
Last updated
06/15/2020
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