Individual
JOSHUA RYAN WASCHAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
2821 N BALLAS RD STE 105, SAINT LOUIS, MO 63131-2314
(314) 872-9955
Mailing address
16604 MARCROSS CT, CHESTERFIELD, MO 63005-4826
(661) 289-2339
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
20211036408
MO
Other
Enumeration date
09/13/2021
Last updated
09/13/2021
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