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Organization

MICKO CHIROPRACTIC PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
AARON MICKO (CHIROPRACTOR)
(605) 432-9561
Entity
Organization

Contact information

Practice address
1203 E 4TH AVE, SUITE 101, MILBANK, SD 57252-1543
(605) 432-9561
(605) 432-9562
Mailing address
1203 E 4TH AVE, SUITE 101, MILBANK, SD 57252-1543
(605) 432-9561
(605) 432-9562

Taxonomy

Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
1120
SD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1457530958
BCBS MN
SD
01
1457530958
DAKOTACARE
05
1457530958
SD
Enumeration date
08/28/2008
Last updated
08/28/2008
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