Individual
ANTHONY RUSSELL WASEM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
3544 CLARK RD, SARASOTA, FL 34231-8408
(941) 404-1253
Mailing address
3544 CLARK RD, SARASOTA, FL 34231-8408
(941) 404-1253
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
12099
FL
Other
Enumeration date
05/11/2017
Last updated
05/11/2017
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