Individual
JEFFREY M MIES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
1747 7TH ST S, SAINT CLOUD, MN 56301-4047
(320) 251-0822
(320) 202-0602
Mailing address
1747 7TH ST S, SAINT CLOUD, MN 56301-4047
(320) 251-0822
(320) 202-0602
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2962
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3C433MI
BLUE CROSS BLUE SHIELD
MN
Enumeration date
09/15/2006
Last updated
07/08/2007
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