Organization
NIEMEIER SPINE & SPORTS CHIROPRACTIC PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHAD MICHAEL NIEMEIER D.C. (OWNER)
(712) 832-3056
Entity
Organization
Contact information
Practice address
222 MARKET STREET, LAKE PARK, IA 51347-0246
(712) 832-3056
(712) 832-3360
Mailing address
PO BOX 246, 222 MARKET STREET, LAKE PARK, IA 51347-0246
(712) 832-3056
(712) 832-3360
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
06762
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1454371
—
IA
Enumeration date
12/27/2007
Last updated
05/15/2013
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