Provider Demographics
NPI:1447957881
Name:DUNAJ-COMPO, MICHALLA MARIE (DC)
Entity type:Individual
Prefix:MRS
First Name:MICHALLA
Middle Name:MARIE
Last Name:DUNAJ-COMPO
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:MICHALLA
Other - Middle Name:MARIE
Other - Last Name:DUNAJ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 164
Mailing Address - Street 2:
Mailing Address - City:BIGFORK
Mailing Address - State:MN
Mailing Address - Zip Code:56628-0164
Mailing Address - Country:US
Mailing Address - Phone:989-578-2581
Mailing Address - Fax:
Practice Address - Street 1:258 PINE TREE DR
Practice Address - Street 2:
Practice Address - City:BIGFORK
Practice Address - State:MN
Practice Address - Zip Code:56628
Practice Address - Country:US
Practice Address - Phone:218-743-4340
Practice Address - Fax:218-743-4310
Is Sole Proprietor?:No
Enumeration Date:2023-02-15
Last Update Date:2023-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MNNA111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor