Individual
JONATHAN DAVID WURSTNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
5842 MAIN ST, WILLIAMSVILLE, NY 14221-5710
(716) 698-5518
Mailing address
91 THERESA CT, WEST SENECA, NY 14224-4715
(716) 830-1130
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
4300
OH
111N00000X
Chiropractor
Primary
X012205-1
NY
Other
Enumeration date
08/08/2012
Last updated
10/29/2013
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