Organization
TRIAD PRO HEALTH CHIROPRACTIC
Active
Other names
Stevens Chiropractic & Wellness Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FRITZ G. MESILIEN D.C. (OWNER/CHIROPRACTOR)
(919) 401-5061
Entity
Organization
Contact information
Practice address
1802 MARTIN LUTHER KING PARKWAY, SUITE 107, DURHAM, NC 27707-3586
(919) 401-5061
(919) 401-8253
Mailing address
1802 MARTIN LUTHER KING PKWY, SUITE 107, DURHAM, NC 27707-3586
(919) 401-5061
(919) 401-8253
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4491
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1073914511
NATIONAL PROVIDER NUMBER
NC
Enumeration date
11/25/2014
Last updated
11/25/2014
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