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Organization

MICHAEL L MASUCCI DC LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MICHAEL LAURENS MASUCCI D.C. (OWNER MANAGER)
(636) 458-9356
Entity
Organization

Contact information

Practice address
2124 BABLER RIDGE LN, WILDWOOD, MO 63038-1178
(636) 458-9356
Mailing address
2124 BABLER RIDGE LN, WILDWOOD, MO 63038-1178
(636) 458-9356

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2014013287
MO

Other

Enumeration date
05/07/2014
Last updated
05/07/2014
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