Organization
ANDERSON CHIROPRACTIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GRANT MICHAEL ANDERSON DC (OWNER)
(605) 692-6004
Entity
Organization
Contact information
Practice address
223 6TH ST, SUITE 4, BROOKINGS, SD 57006-1406
(605) 692-6004
(605) 692-6003
Mailing address
223 6TH ST, SUITE 4, BROOKINGS, SD 57006-1406
(605) 692-6004
(605) 692-6003
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1145
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1005696
—
SD
Enumeration date
05/13/2014
Last updated
05/13/2014
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