Petersburg Spine & Sport INC
NPI #1639318173 in Petersburg, Illinois
Provider Information
- NPI Number
- 1639318173
- Entity Type
- Organization
- Organization Name
- Petersburg Spine & Sport INC
- Primary Specialty
- Chiropractor
- Enumeration Date
- Feb 6, 2009
- Last Updated
- Jan 5, 2015
Practice Location
- Address
- 115 E DOUGLAS AVE
- City
- Petersburg
- State
- Illinois
- ZIP Code
- 62675-1558
- Phone
- (217) 632-7599
Authorized Official
- Name
- DR. MICHAEL GENSLER, DC
- Title
- CHIROPRACTOR
- Phone
- (217) 632-7599
Specialties & Taxonomy Codes
| Specialty |
|---|
| Chiropractor |
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