Organization
MIDTOWN CHIROPRACTIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRADLEY DEAN KRAFT DC (OWNER)
(701) 838-7676
Entity
Organization
Contact information
Practice address
212 S BROADWAY STE 4, MINOT, ND 58701-3867
(701) 838-7676
(701) 837-7962
Mailing address
212 S BROADWAY STE 4, MINOT, ND 58701-3867
(701) 838-7676
(701) 837-7962
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
704
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
11762
—
ND
Enumeration date
03/03/2014
Last updated
03/03/2014
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