Individual
JEFFERY CHARLES MICHAEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
9956 N MAIN ST, SUITE 4, BERLIN, MD 21811-1077
(410) 629-1845
Mailing address
9956 N MAIN ST, SUITE 4, BERLIN, MD 21811-1077
(410) 629-1845
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
03542
MD
Other
Enumeration date
08/28/2007
Last updated
10/01/2013
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