Organization
TWIN CITY WELLNESS CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TJODE MICKELSON D.C. (CHIROPRACTOR)
(314) 398-5800
Entity
Organization
Contact information
Practice address
105 BORGA BUILDING, FESTUS, MO 63028-1136
(314) 398-5800
Mailing address
105 BORGA BUILDING, FESTUS, MO 63028-1136
(314) 398-5800
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2005036767
MO
Other
Enumeration date
05/04/2007
Last updated
08/22/2020
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