| NPI | 1083782858 |
|---|---|
| Doing Business As | MICKELSEN CHIROPRACTIC CENTER |
| Entity Type | Organization |
| Authorized Contact | THOMAS JAMES MICKELSEN Chiropractor 734-462-2262 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MI 2301007193) |
| Enumeration Date | 2006-12-01 |
| Last Update Date | 2020-08-22 |