Organization
WESTEND SPINE AND REHAB, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TYLER MARK HAGEN D.C. (CHIROPRACTOR/CLINIC DIRECTOR)
(701) 261-9468
Entity
Organization
Contact information
Practice address
3575 45TH ST S, SUITE 112, FARGO, ND 58104-8963
(701) 639-2436
(701) 639-2430
Mailing address
3575 45TH ST S, SUITE 112, FARGO, ND 58104-8963
(701) 639-2436
(701) 639-2430
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
02/17/2015
Last updated
03/23/2015
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