Individual
DR. RUSSELL DADE WOUTERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
700 E MAIN ST, MONTROSE, CO 81401-3975
(970) 249-4213
Mailing address
700 E MAIN ST, MONTROSE, CO 81401-3975
(970) 249-4213
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH6661
CO
Other
Enumeration date
02/11/2010
Last updated
08/16/2011
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