Individual
MIRANDA LORELEI FISK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
711 3RD ST, JACKSON, MN 56143-1614
(507) 847-4390
Mailing address
711 3RD ST, JACKSON, MN 56143-1614
(507) 847-4390
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
2192
NE
111N00000X
Chiropractor
Primary
7315
MN
Other
Enumeration date
07/15/2024
Last updated
04/14/2025
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