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Organization

ROSEBERRY CHIROPRACTIC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MICHELLE MARIE ROSEBERRY D.C. (DOCTOR OF CHIROPRACTIC)
(712) 660-0997
Entity
Organization

Contact information

Practice address
2551 BREDELL AVE, MAPLEWOOD, MO 63143-1807
(712) 660-0997
Mailing address
1000 LAKE SAINT LOUIS BLVD, 100, LAKE ST LOUIS, MO 63367-1340
(636) 695-4570

Taxonomy

Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
2009038320
MO

Other

Enumeration date
04/27/2010
Last updated
04/27/2010
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