MR. Mark R Michaelsen, DC

NPI #1902832686 in Tyler, Texas

Provider Information

NPI Number: 1902832686
Entity Type: Individual
Name: MR. Mark R Michaelsen, DC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Chiropractor
Credential: DC
Enumeration Date: Jun 24, 2006
Last Updated: Apr 29, 2013

Practice Location

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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