Genesis Chiropractic Center INC Ps
NPI #1508053497 in Ferndale, Washington
Provider Information
- NPI Number
- 1508053497
- Entity Type
- Organization
- Organization Name
- Genesis Chiropractic Center INC Ps
- Primary Specialty
- Chiropractor
- Enumeration Date
- Sep 25, 2007
- Last Updated
- Nov 23, 2007
Practice Location
- Address
- 5630 3RD ST
- City
- Ferndale
- State
- Washington
- ZIP Code
- 98248
- Phone
- (360) 380-4848
Authorized Official
- Name
- DR. MARK ALEXANDER MIELKE, DC
- Title
- PRESIDENT
- Phone
- (360) 380-4848
Specialties & Taxonomy Codes
| Specialty |
|---|
| Chiropractor |
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