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NPI Code Detail

MEDICARE: DR. MIREILLE JOSEPH TUTTLE D.C.

MEDICARE:  DR. MIREILLE JOSEPH TUTTLE  D.C.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1111N00000XChiropractorCH00034150WA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
10169363OTHERWALABOR AND INDUSTRY

General Provider Information

NPI Number : 1376689034
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MIREILLE JOSEPH TUTTLE D.C.
Provider Business Mailing Address
First Line : 4347 ROOSEVELT WAY NE
Second Line :
City : SEATTLE
State : WA
Zip : 98105-4717
Country : US
Telephone Number : 206-633-5556
Fax Number : 206-633-5559
Provider Business Practice Location Address
First Line : 4347 ROOSEVELT WAY NE
Second Line :
City : SEATTLE
State : WA
Zip : 98105-4717
Country : US
Telephone Number : 206-633-5556
Fax Number : 206-633-5559
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/29/2007
Last Update Date : 07/09/2007

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Directions to “ DR. MIREILLE JOSEPH TUTTLE D.C.” Practice Location

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