Individual
DR. JOSHUA BLAKE HANISCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C, B.S.
Contact information
Practice address
4539 DOUGLAS AVE, SUITE A, DES MOINES, IA 50310-2711
(515) 276-2263
(515) 251-2969
Mailing address
4539 DOUGLAS AVE, SUITE A, DES MOINES, IA 50310-2711
(515) 276-2263
(515) 251-2969
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
007433
IA
Other
Enumeration date
06/15/2011
Last updated
06/15/2011
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