TJODE M MICKELSON

FESTUS, MO
NPI1104808435
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy111N00000X Chiropractor
(Licence: MO  2005036767)
Enumeration Date2005-11-14
Last Update Date2007-07-08
Business Address
Dr. TJODE M MICKELSON D.C
105 BORGA BUILDING
FESTUS, MO 63028-1136
Phone number: 636-937-3207
Mailing Address
Dr. TJODE M MICKELSON D.C
8914 KATHLYN DR
SAINT LOUIS, MO 63134-3552
Phone number: 314-398-5800