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Organization

JUDISCH CHIROPRACTIC, LTD

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. RICK JUDISCH D.C. (PRESIDENT)
(701) 235-0313
Entity
Organization

Contact information

Practice address
1411 32ND ST S, FARGO, ND 58103-6304
(701) 235-0313
(701) 241-4175
Mailing address
1411 32ND ST S, FARGO, ND 58103-6304
(701) 235-0313
(701) 241-4175

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
609
ND

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
13903
BS ND
ND
01
5C943JU
BS OF MN
MN
Enumeration date
01/30/2007
Last updated
09/14/2011
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