Individual
MS. PETRA IRMGARD MURSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
56A RAINBOW ROAD, EAST GRANBY, CT 06026
(860) 653-5662
(860) 653-8217
Mailing address
PO BOX 695, EAST GRANBY, CT 06026
(860) 653-5662
(860) 653-8217
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
000434
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
050000434CT01
BCBS
CT
01
—
D60304
CONNECTICARE
CT
Enumeration date
03/22/2007
Last updated
07/08/2007
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