Individual
MR. JUSTIN ROBERT JOSEPH MASSICOTTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1000 BRADY ST, PCC BOX 527, DAVENPORT, IA 52803-5214
(563) 676-6767
(563) 676-6767
Mailing address
7440 BOUL. DECARIE, MONTREAL, QUEBEC H4P2H-1
(563) 676-6767
(563) 676-6767
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
NONE
IA
Other
Enumeration date
07/06/2007
Last updated
07/08/2007
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