Organization
DMR CLINIC ROGERS LLC
Active
Other names
Ripple Health Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHLYNN HEIDE D.C. (CHIROPRACTOR)
(612) 670-9026
Entity
Organization
Contact information
Practice address
9000 QUANTRELLE AVE NE STE 240, OTSEGO, MN 55330-1022
(763) 432-9866
Mailing address
9000 QUANTRELLE AVE NE STE 240, OTSEGO, MN 55330-1022
(763) 432-9866
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5257
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
350004449
MEDICARE ID
MN
Enumeration date
10/15/2016
Last updated
03/07/2023
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