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Individual

DR. EDWARD CHARLES SIARKOWICZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
4750 E MOODY BLVD, #105, BUNNELL, FL 32110-7709
(386) 437-2012
(386) 437-2191
Mailing address
4750 E MOODY BLVD, #105, BUNNELL, FL 32110-7709
(386) 437-2012
(386) 437-2191

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH6640
FL
111N00000X
Chiropractor
X007478
NY

Other

Enumeration date
09/14/2006
Last updated
09/01/2009
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