Most Relevant Information
Provider Data
| NPI Number: | 1003066507 |
| Provider Name: | MICHAEL JOHN BOSTJANCIC D.C. |
| Entity Type: | Individual |
| Taxonomy Code: | 111N00000X |
| Specialty: | Chiropractor |
| License Number: | CH60036331 |
Most Important Dates
| Enumeration Date: | 09/22/2008 |
| Last Updated: | 09/23/2008 |
Provider Practice Location
10700 SE 208TH ST STE 207
KENT
WA
980315545
Practice Location Phone/Fax
| Phone: | 2538543185 |
| Fax: | 2538529210 |
Provider Mailing Location
10700 SE 208TH ST STE 207
KENT
WA
980315545
Provider Mailing Phone/Fax
| Phone: | 2538543185 |
| Fax: | 2538529210 |