Organization
WAALE CHIROPRACTIC CLINIC PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID HAROLD WAALE D.C. (OWNER)
(701) 365-0401
Entity
Organization
Contact information
Practice address
417 MAIN AVE, SUITE 301, FARGO, ND 58103-1956
(701) 365-0401
(701) 365-0402
Mailing address
417 MAIN AVE, SUITE 301, FARGO, ND 58103-1956
(701) 365-0401
(701) 365-0402
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
474
ND
Other
Enumeration date
03/31/2011
Last updated
03/31/2011
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