Individual
DR. BRYCE JONATHAN STAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
501 LARK ST, GENEVA, IL 60134-2526
(630) 232-6616
(630) 232-6681
Mailing address
501 LARK ST, P. O. BOX 47, GENEVA, IL 60134-2526
(630) 232-6616
(630) 232-6681
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
IL
Other
Enumeration date
08/05/2006
Last updated
07/08/2007
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