Organization
MITTELSTAEDT CHIROPRACTIC INC
Active
Other names
Mittelstaedt Chiropractic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN WILLIAM MITTELSTAEDT D.C. (DOCTOR-OWNER)
(360) 452-7636
Entity
Organization
Contact information
Practice address
601 S RACE ST, SUITE C, PORT ANGELES, WA 98362-6400
(360) 452-7636
(360) 457-4221
Mailing address
601 S RACE ST, SUITE C, PORT ANGELES, WA 98362-6400
(360) 452-7636
(360) 457-4221
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1365
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2040400
—
WA
Enumeration date
03/26/2007
Last updated
12/26/2007
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