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Individual

DR. CHAD FIKSE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
612 4TH ST, SULLY, IA 50251-0301
(641) 594-4299
(641) 594-3499
Mailing address
612 4TH ST, P.O. BOX 301, SULLY, IA 50251-0301
(641) 594-4299
(641) 594-3499

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
06648
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
36311
BLUE CROSS / BLUE SHIELD
IA
Enumeration date
10/31/2006
Last updated
07/08/2007
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