Individual
MIKE SCOTT WASILISIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
444 W C ST, SAN DIEGO, CA 92101-3533
(619) 232-4030
(619) 232-4255
Mailing address
6215 EL CAMINO REAL, SUITE 100, CARLSBAD, CA 92009-1604
(760) 603-7900
(760) 603-7997
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
31327
CA
Other
Enumeration date
08/07/2009
Last updated
08/07/2009
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