DR. Michael Wayne Childress, D.C.

NPI #1518155886 in Johnston City, Illinois

Provider Information

NPI Number: 1518155886
Entity Type: Individual
Name: DR. Michael Wayne Childress, D.C.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Chiropractor
Credential: D.C.
Enumeration Date: Oct 11, 2007
Last Updated: Jan 20, 2009

Practice Location

Address: 217 E BROADWAY BLVD
City: Johnston City
State: Illinois
ZIP Code: 62951-1604
Phone: (618) 983-3900

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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