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Organization

MITCHELL CHIROPRACTIC & ACUPUNCTURE CENTER, P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. SANDY K HANSSEN (CA)
(605) 996-1078
Entity
Organization

Contact information

Practice address
501 W HAVENS ST, MITCHELL, SD 57301-4334
(605) 996-1078
(605) 996-3703
Mailing address
501 W HAVENS ST, MITCHELL, SD 57301-4334
(605) 996-1078
(605) 996-3703

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
862
SD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0041206
BLUE CROSS
SD
01
S41206
MEDICARE
Enumeration date
02/07/2006
Last updated
03/30/2011
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