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Individual

DR. MARK ALLEN LINDHOLM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
601 E BRISTOL ST, ELKHART, IN 46514-3418
(574) 262-4402
(574) 264-0778
Mailing address
601 E BRISTOL ST, ELKHART, IN 46514-3418
(574) 262-4402
(574) 264-0778

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
08001457A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000269183
BCBS
IN
Enumeration date
11/01/2006
Last updated
07/08/2007
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