Organization
IDEAL HEALTH OF WASHINGTON, INC.
Active
Other names
Hansen Chiropractic Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL WALL II D.C. (CHIROPRACTOR)
(253) 531-5242
Entity
Organization
Contact information
Practice address
13412 PACIFIC AVE S, TACOMA, WA 98444-4866
(253) 531-5242
(253) 537-7293
Mailing address
13412 PACIFIC AVE S, TACOMA, WA 98444-4866
(253) 531-5242
(253) 537-7293
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH00034640
WA
Other
Enumeration date
07/06/2009
Last updated
07/06/2009
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