DR. Tjode M Mickelson, D.C

NPI #1104808435 in Festus, Missouri

Provider Information

NPI Number: 1104808435
Entity Type: Individual
Name: DR. Tjode M Mickelson, D.C
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Chiropractor
Credential: D.C
Enumeration Date: Nov 14, 2005
Last Updated: Jul 8, 2007

Practice Location

Address: 105 BORGA BUILDING
City: Festus
State: Missouri
ZIP Code: 63028-1136
Phone: (636) 937-3207

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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