Individual
DR. TIMOTHY MARK KOSTERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
401 COOPER DR, CLINTON, NC 28328-2817
(910) 592-2250
(910) 592-6143
Mailing address
401 COOPER DR, CLINTON, NC 28328-2817
(910) 592-2250
(910) 592-6143
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
200001407900
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
890856C
—
NC
Enumeration date
08/03/2006
Last updated
07/21/2010
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