Organization
SPIRIT LAKE CHIROPRACTIC CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEVEN J FIALA D.C. (DOCTOR OF CHIROPRACTIC/OWNER)
(712) 336-3304
Entity
Organization
Contact information
Practice address
609 18TH ST, SPIRIT LAKE, IA 51360-1502
(712) 336-3304
(712) 336-4619
Mailing address
609 18TH ST, SPIRIT LAKE, IA 51360-1502
(712) 336-3304
(712) 336-4619
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
04949
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1015321
—
IA
01
—
56388
WELLMARK
IA
Enumeration date
12/05/2011
Last updated
12/05/2011
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