Individual
DR. MICHAEL R POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
510 22ND AVENUE E, SUITE 701, ALEXANDRIA, MN 56308
(320) 763-9711
(320) 762-1278
Mailing address
PO BOX 533, ALEXANDRIA, MN 56308
(320) 762-0683
(320) 762-1278
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3449
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
312135600
—
MN
01
—
350002628
MEDICARE PART B
MN
Enumeration date
09/06/2005
Last updated
01/05/2010
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