Organization
FOUNDATION INTERESTS GROUP, P.C.
Active
Other names
Specific Chiropractic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRANDON MICKELSON D.C. (PRESIDENT)
(507) 320-1555
Entity
Organization
Contact information
Practice address
2001 2ND ST SW, SUITE 125, ROCHESTER, MN 55902-4156
(507) 320-1555
Mailing address
835 40TH ST NW, SUITE 217, ROCHESTER, MN 55901-4248
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5904
MN
Other
Enumeration date
06/02/2016
Last updated
07/25/2016
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