Individual
DR. JOHN HENRY DESUTTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
9659 E. GOODMAN AVE, OLIVE BRANCH, MS 38654
(662) 895-2501
(662) 895-3464
Mailing address
9659 E. GOODMAN AVE, OLIVE BRANCH, MS 38654
(662) 895-2501
(662) 895-3464
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0059
MS
Other
Enumeration date
08/23/2006
Last updated
07/08/2007
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