Organization
ADVANCED HEALTH AND WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CURTIS FICENEC D.C. (CHIROPRACTOR)
(701) 232-4770
Entity
Organization
Contact information
Practice address
3222 28TH ST S, FARGO, ND 58104-5183
(701) 232-4770
(701) 237-3251
Mailing address
3222 28TH ST S, FARGO, ND 58104-5183
(701) 232-4770
(701) 237-3251
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
464
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
06191001
BLUE SHIELD GROUP #
ND
05
—
12960
—
ND
01
—
41Q31AD
BLUE SHIELD MN GROUP #
MN
Enumeration date
01/08/2007
Last updated
06/17/2008
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