Organization
BACK SPECIALISTS OF THE MIDWEST LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRUCE JON HAGEN DC (OWNER)
(605) 361-1700
Entity
Organization
Contact information
Practice address
5109 S CROSSING PL, STE 1, SIOUX FALLS, SD 57108-5076
(605) 361-1700
(605) 361-0113
Mailing address
5109 S CROSSING PL, STE 1, SIOUX FALLS, SD 57108-5076
(605) 361-1700
(605) 361-0113
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
714
SD
225100000X
Physical Therapist
1351
SD
Other
Enumeration date
09/13/2006
Last updated
09/28/2015
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