Individual
DR. MICHAEL JOSEPH FISCELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
420 WILMINGTON AVE, SAINT LOUIS, MO 63111-2442
(314) 353-1477
Mailing address
420 WILMINGTON AVE, SAINT LOUIS, MO 63111-2442
(314) 353-1477
Taxonomy
Speciality
Code
Description
License number
State
111NX0800X
Orthopedic Chiropractor
Primary
4167
MO
Other
Enumeration date
07/11/2006
Last updated
07/08/2007
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