Individual
DR. MICHAEL TODD FERDERER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
9720 N NEVADA ST, SPOKANE, WA 99218-5019
(509) 464-2273
(509) 242-1854
Mailing address
9720 N NEVADA ST, SPOKANE, WA 99218-5019
(509) 464-2273
(509) 242-1854
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH60017836
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
236510
WA STATE L&I
WA
01
—
G319200000
PTAN
WA
Enumeration date
06/04/2008
Last updated
08/05/2008
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