Individual
FREDERICK GUENTHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
127 E AUSTIN BLVD, STE D, NEVADA, MO 64772-3376
(417) 549-9700
Mailing address
127 E AUSTIN BLVD, STE D, NEVADA, MO 64772-3376
(417) 549-9700
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2000153089
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2000153089
MO STATE LICENSE NUMBER
MO
Enumeration date
03/13/2007
Last updated
07/09/2007
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