Individual
DR. MICHAEL JAMES KOSTERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
116 COUNTRY CLUB DR, FAYETTEVILLE, NC 28301
(910) 229-1952
(910) 630-0352
Mailing address
116 COUNTRY CLUB DR, FAYETTEVILLE, NC 28301
(910) 229-1952
(910) 630-0352
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
930
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8908572
—
NC
Enumeration date
09/20/2006
Last updated
07/08/2007
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