Timothy B Vyrostek DC CCSP

NPI 1003929308 - Chiropractor - 111N00000X

NPI Details
NPI 1003929308
Gender Male
Enumeration Date 08/17/2006
Last Updated 01/08/2010
Entity Type Individual
Active Over 10 years ago
Practice Location
200 N THIRD ST
LAKESIDE CHIROPRACTIC PC
CONNEAUT LAKE PA, 16316, US
Phone (814) 382-1970
Fax (814) 382-3619
Business Location
PO BOX 169
CONNEAUT LAKE PA, 16316, US
Phone (814) 382-1970
Fax (814) 382-3619
Toxanomy
Taxonomy Code 111N00000X
License State Pennsylvania
License Number DC007097L
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According to our database, Dr. Timothy B Vyrostek DC CCSP NPI is 1003929308, taxonomy code is 111N00000X and license number is DC007097L, license state is located at Pennsylvania. Timothy B Vyrostek DC CCSP physically located at 200 N Third St, Conneaut Lake PA, 16316. NPI Number Timothy B Vyrostek DC CCSP has the Individual type.

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1003929308 NPI number is provided on an as is basis without warranty of any kind. 1003929308 is maintained by the National Plan & Provider Enumeration System. The contents of Timothy B Vyrostek DC CCSP are for informational purposes only.