Individual
IAN YETZKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
10629 BIG BEND RD STE 224, RIVERVIEW, FL 33579-7176
(813) 590-7799
Mailing address
4950 W PRESCOTT ST, TAMPA, FL 33616-2903
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
14545
FL
Other
Enumeration date
11/11/2024
Last updated
11/11/2024
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