NPI 1003056961

Mandi Lynne Miedema, DC

Practitioner Chiropractor Falcon, CO

Practice location

Address: 11605 Meridian Market Vw STE 142, Falcon, CO 80831-8238
Phone: (701) 830-0431

Registered specialties

Chiropractor Primary

Chiropractic Providers Taxonomy 111N00000X Licence 6600 (CO)

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Registry record

NPI: 1003056961
Entity type: Individual
Sex (as registered): Female
NPI issued: 4 Mar 2009
Record last updated: 15 Nov 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.