Organization
KILLDEER CHIROPRACTIC ACUPUNCTURE & BODYWORK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANE WETZEL (SOLE MEMBER)
(701) 764-7227
Entity
Organization
Contact information
Practice address
42 CENTRAL AVE S, KILLDEER, ND 58640-4000
(701) 764-7227
Mailing address
PO BOX 902, KILLDEER, ND 58640-0902
(701) 764-7227
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
977
ND
Other
Enumeration date
12/29/2014
Last updated
12/29/2014
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