Individual
MARK J LIEFFRING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1219 14TH ST, SUITE C, CLOQUET, MN 55720-3703
(218) 878-0895
(218) 485-8941
Mailing address
1219 14TH ST, SUITE C, CLOQUET, MN 55720-3703
(218) 878-0895
(218) 485-8941
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1532
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
055527400
—
MN
01
—
230492
ACN ID
MN
01
—
61950LI
BCBS ID
MN
Enumeration date
10/03/2006
Last updated
11/15/2011
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