Individual
DR. DONALD WAYNE DICUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
2241 BLUESTONE DR, SAINT CHARLES, MO 63303-6705
(636) 328-5762
(636) 925-0128
Mailing address
2003 PLEASANT VALLEY DR, SAINT CHARLES, MO 63303-3867
(636) 328-5762
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
038-008506
IL
111N00000X
Chiropractor
Primary
2000165673
MO
Other
Enumeration date
09/20/2005
Last updated
10/31/2007
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