Individual provider · Type 1 NPI
Mark R. Michaelsen, DC
Chiropractor · Tyler, TX
NPI number
1902832686
Active
Practice location
645 S Broadway Ave, Suite 1
Tyler, TX 75701-1676
Fax (903) 535-9412
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | 5712 (TX) |
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.
Another provider at this address
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About NPI 1902832686
Mark R. Michaelsen, DC's National Provider Identifier is 1902832686, issued on Jun 24, 2006. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Tyler, TX. The record was last updated on Apr 29, 2013.