Organization
HEARTLAND CLINIC CHIROPRACTIC PC
Active
Other names
Heartland Clinic of Chiropractic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL G. KIEFAT D.C., B.SC. (PRESIDENT/OWNER)
(701) 746-5977
Entity
Organization
Contact information
Practice address
2525 DEMERS AVE, SUITE B, GRAND FORKS, ND 58201-8622
(701) 746-5977
(701) 746-5976
Mailing address
2525 DEMERS AVE, SUITE B, GRAND FORKS, ND 58201-8622
(701) 746-5977
(701) 746-5976
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
726
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
064K8HE
BCBS OF MINNESOTA
MN
05
—
12742
—
ND
01
—
23135
BCBS OF NORTH DAKOTA
ND
05
—
622662100
—
MN
Enumeration date
01/16/2008
Last updated
01/06/2012
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