Mandi Lynne Miedema, D.C. Valid NPI
Individual provider · Chiropractor · Falcon, CO
- NPI
- 1003056961
- Type
- Individual (Type 1)
- Primary specialty
- Chiropractor
- Specialty group
- Chiropractic Providers
- Taxonomy code
- 111N00000X
- License number
- 6600 (CO)
- Sex
- Female
- Sole proprietor
- Yes
- Enumerated
- 2009-03-04
- Last updated
- 2010-11-15
Practice location
11605 Meridian Market Vw Ste 142
Falcon, CO 80831-8238
(701) 830-0431