Organization
TICKEL CHIROPRACTIC, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM DAVID TICKEL D.C. (OWNER/PRESIDENT)
(701) 429-3678
Entity
Organization
Contact information
Practice address
819 30TH AVE S, SUITE 102, MOORHEAD, MN 56560-5000
(701) 429-3678
(877) 818-9672
Mailing address
1137 37TH AVE S, MOORHEAD, MN 56560-6144
(701) 429-3678
(877) 818-9672
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5023
MN
Other
Enumeration date
10/01/2007
Last updated
10/01/2007
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