Individual
DR. RYAN MICHAEL FAULKNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
6251 RONALD REAGAN DR, LAKE ST LOUIS, MO 63367-2665
(636) 614-2139
Mailing address
8 SHIPLEY CT, SAINT CHARLES, MO 63303-3024
(314) 330-0626
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2013018389
MO
Other
Enumeration date
09/19/2013
Last updated
09/19/2013
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