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Individual

DR. MICHAEL WILLIAM BIRDSALL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
1 BRITTON PL, SUITE 10, VOORHEES, NJ 08043-2514
(856) 772-6300
(856) 772-4931
Mailing address
950 CROSS ST, LAKEWOOD, NJ 08701-4035
(848) 525-4008

Taxonomy

Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
38MC00635900
NJ

Other

Enumeration date
08/12/2006
Last updated
07/08/2007
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