Russell Dade Wouters D.C.

NPI 1093047391 - Chiropractor - 111N00000X

NPI Details
NPI 1093047391
Gender Male
Enumeration Date 02/11/2010
Last Updated 08/16/2011
Entity Type Individual
Active Over 6 years ago
Practice Location
700 E MAIN ST
MONTROSE CO, 81401-3975, US
Phone (970) 249-4213
Fax
Business Location
700 E MAIN ST
MONTROSE CO, 81401-3975, US
Phone (970) 249-4213
Fax
Toxanomy
Taxonomy Code 111N00000X
License State Colorado
License Number CH6661
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According to our database, Dr. Russell Dade Wouters D.C. NPI is 1093047391, taxonomy code is 111N00000X and license number is CH6661, license state is located at Colorado. Russell Dade Wouters D.C. physically located at 700 E Main St, Montrose CO, 81401-3975. NPI Number Russell Dade Wouters D.C. has the Individual type.

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1093047391 NPI number is provided on an as is basis without warranty of any kind. 1093047391 is maintained by the National Plan & Provider Enumeration System. The contents of Russell Dade Wouters D.C. are for informational purposes only.