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Individual

DR. MICHAEL WAYNE HEADLEE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
1426 BEMIDJI AVE N STE 2, BEMIDJI, MN 56601-3882
(218) 333-8811
(218) 333-8813
Mailing address
1426 BEMIDJI AVE N STE 2, BEMIDJI, MN 56601-3882
(218) 333-8811
(218) 333-8813

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4495
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
4495
MN CHIROPRACTIC LICENSE
MN
Enumeration date
03/01/2007
Last updated
10/26/2017
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