Organization
MATTSON FAMILY CHIROPRACTIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DORIAN L MATTSON DC (PRESIDENT)
(906) 932-4605
Entity
Organization
Contact information
Practice address
520 E AYER ST, IRONWOOD, MI 49938-2204
(906) 932-4605
(906) 932-4875
Mailing address
520 E AYER ST, IRONWOOD, MI 49938-2204
(906) 932-4605
(906) 932-4875
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2301007489
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38934400
—
WI
01
—
4361323
UPHP
MI
01
—
950B710200
BLUE CROSS
—
Enumeration date
09/16/2006
Last updated
01/28/2013
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