Organization
CASCADE CHIROPRACTIC P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MITCHELL DALE MARISTUEN D.C (CHIROPRACTOR)
(651) 227-2233
Entity
Organization
Contact information
Practice address
1390 W. 7TH STREET, ST. PAUL, MN 55102
(651) 227-2233
(651) 528-7309
Mailing address
1390 7TH ST W, SAINT PAUL, MN 55102-4206
(651) 227-2233
(651) 528-7309
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4516
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
350003516
NOT SURE WHICH CATEGORY
MN
Enumeration date
10/25/2007
Last updated
08/28/2013
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