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Individual

DR. MICHELLE MARIE ROSEBERRY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
D.C.

Contact information

Practice address
2551 BREDELL AVE, MAPLEWOOD, MO 63143-1807
(314) 302-0909
Mailing address
1000 LAKE SAINT LOUIS BLVD, SUITE 100, LAKE ST LOUIS, MO 63367-1340
(636) 695-4570
(636) 625-4554

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2009038320
MO

Other

Enumeration date
01/05/2010
Last updated
01/05/2010
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