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Individual

DR. DALE A SPEISER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
304 MILWAUKEE AVE, DEER LODGE, MT 59722-1085
(406) 846-9545
(406) 846-9545
Mailing address
304 MILWAUKEE AVE, DEER LODGE, MT 59722-1085
(406) 846-9545
(406) 846-9545

Taxonomy

Speciality
Code
Description
License number
State
111NN1001X
Nutrition Chiropractor
Primary
1080CHI
MT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1080CHI
CHIROPRACTIC LICENCE
MT
01
2514
CHIROPRACTIC LICENCE
OH
01
2658
CHIROPRACTIC LICENCE
WA
01
287218-1202
CHIROPRACTIC LICENCE
UT
Enumeration date
01/23/2007
Last updated
07/08/2007
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