Alisa T Mitskog, P.c.
NPI #1184923179 in Wahpeton, North Dakota
Provider Information
- NPI Number
- 1184923179
- Entity Type
- Organization
- Organization Name
- Alisa T Mitskog, P.c.
- Primary Specialty
- Clinic/Center
- Enumeration Date
- Mar 16, 2011
- Last Updated
- Oct 13, 2015
Practice Location
- Address
- 319 11TH ST N
- City
- Wahpeton
- State
- North Dakota
- ZIP Code
- 58075-4111
- Phone
- (701) 642-6444
Authorized Official
- Name
- DR. ALISA T MITSKOG, DC
- Title
- PRESIDENT
- Phone
- (701) 642-6444
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center |
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