Individual
MICHAEL JAMES DISTLER
Active
Individual
MICHAEL JAMES DISTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC, CCSP
Taxonomy
Speciality
Code
Description
License number
State
111NI0900X
Internist Chiropractor
N-A
NY
111NS0005X
Sports Physician Chiropractor
Primary
38MC00760100
NJ
Other
Enumeration date
02/05/2011
Last updated
11/27/2024
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