Individual
DAVID JOHN MITTET
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
120 SOUTH MAIN STREET, MAHNOMEN, MN 56557-0121
(218) 935-5590
(218) 935-5590
Mailing address
120 MAIN ST, MAHNOMEN, MN 56557-0121
(218) 935-5590
(218) 935-5590
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
MN2622
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1B60972MI
BLUECROSS&BLUESHIELDMN
MN
01
—
4904
BLUECROSS&BLUESHIELDND
ND
Enumeration date
05/16/2007
Last updated
07/08/2007
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