Individual
DR. DANIEL G KIEFAT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
2525 DEMERS AVE, SUITE B, GRAND FORKS, ND 58201
(701) 746-5977
(701) 746-5976
Mailing address
2525 DEMERS AVE, SUITE B, GRAND FORKS, ND 58201
(701) 746-5977
(701) 746-5976
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
726
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
12742
—
ND
01
—
23135
BCBS ND
—
Enumeration date
11/03/2006
Last updated
10/17/2011
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