Individual
JOSIAH STREET
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2209 2ND AVE, MUSCATINE, IA 52761-5258
(563) 264-8825
Mailing address
201 E 2ND ST, MUSCATINE, IA 52761-4006
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
078974
IA
Other
Enumeration date
07/08/2015
Last updated
02/02/2023
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