Individual provider · Type 1 NPI

William David Tickel, DC

Chiropractor · Moorhead, MN

NPI number 1629295498 Active

Practice location

819 30th Ave S, Suite 102
Moorhead, MN 56560-5000

Fax (877) 818-9672

Mailing address

1137 37th Ave S
Moorhead, MN 56560-6144

Specialties and licenses

TaxonomyCodeLicense
Chiropractor Primary 111N00000X5023 (MN)

Chiropractor: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

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About NPI 1629295498

William David Tickel, DC's National Provider Identifier is 1629295498, issued on Apr 20, 2007. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Moorhead, MN. The record was last updated on Oct 1, 2007.