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Individual

DR. MICHAEL R PERUSICH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
910 THOMPSON BLVD, SEDALIA, MO 65301
(660) 829-2600
(660) 829-2607
Mailing address
910 THOMPSON BLVD, SEDALIA, MO 65301-2241
(660) 829-2600
(660) 829-2607

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
01-04637
KS
111N00000X
Chiropractor
Primary
1999134950
MO

Other

Enumeration date
10/04/2006
Last updated
07/28/2010
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