Individual
DR. MISTY DAWN WELLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
414 NE 3RD ST, MADISON, SD 57042-2322
(605) 256-4752
(605) 256-4752
Mailing address
414 NE 3RD ST, MADISON, SD 57042-2322
(605) 256-4752
(605) 256-4752
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1065
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13737
AVERA
SD
01
—
248610
MIDLANDS CHOICE
SD
01
—
4994402
WELLMARK, BLUE CROSS
SD
01
—
C1065
DAKOTACARE
SD
Enumeration date
11/14/2006
Last updated
07/08/2007
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