Organization
MICKO CHIROPRACTIC PC
Active
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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