Michaelsen Chiropractic Center, P.c.

NPI #1053597906 in Tyler, Texas

Provider Information

NPI Number: 1053597906
Entity Type: Organization
Organization Name: Michaelsen Chiropractic Center, P.c.
Primary Specialty: Chiropractor
Enumeration Date: Jan 10, 2008
Last Updated: Jan 16, 2013

Practice Location

Address: 645 S BROADWAY AVE
Address 2: SUITE 1
City: Tyler
State: Texas
ZIP Code: 75701-1676
Phone: (903) 593-5200

Authorized Official

Name: DR. MARK R MICHAELSEN, D.C.
Title: PRESIDENT
Phone: (903) 593-5200

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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