Individual
MITCHELL WADE SUTTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
156 COUNTY ROAD 313, TAYLOR, MO 63471-2056
(217) 430-4476
Mailing address
156 COUNTY ROAD 313, TAYLOR, MO 63471-2056
(217) 430-4476
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
038.013497
IL
111N00000X
Chiropractor
Primary
2020015015
MO
Other
Enumeration date
01/14/2020
Last updated
08/19/2020
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