Dr. Mandi Lynne Miedema
Chiropractor
11605 Meridian Market Vw Ste 142
Falcon
, Colorado 80831-8238
Dr. Mandi Lynne Miedema
Chiropractor
11605 Meridian Market Vw Ste 142
Falcon
, Colorado 80831-8238
(701) 830-0431
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About
Features
Specialties
- Chiropractor
Languages spoken
- English
Location
First Address
- Dr. Mandi Lynne Miedema
- 11605 Meridian Market Vw Ste 142
- Falcon, CO
- Zip : 80831-8238
- Phone : (701) 830-0431
Second Address
- Dr. Mandi Lynne Miedema
- 11605 Meridian Market Vw Ste 142
- Falcon, CO
- Zip : 80831-8238
- Phone : (701) 830-0431
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 6600 | CO |
National Provider Identifier
| NPI | 1003056961 |
|---|---|
| Provider Name | Dr. Mandi Lynne Miedema |
| First Address | Falcon, CO 80831-8238 |
| Second Address | Falcon, CO 80831-8238 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 04/03/2009 |
| Last Update Date | 15/11/2010 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.