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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MICHAEL JAMES DISTLER, DC, CCSP

Active

MICHAEL JAMES DISTLER, DC, CCSP is a Sports Physician (Chiropractor) healthcare provider located in HADDONFIELD, New Jersey. NPI 1609172832 is currently active in the NPPES registry. Verify at CMS.

Sports Physician (Chiropractor) · HADDONFIELD, NJ

Registration Details

NPI Number
1609172832
Provider Type
Individual
Gender
Male
NPI Issued
Feb 5, 2011 (15.533945058688 yrs)
Last Updated
Nov 27, 2024
Licenses
38MC00760100 (NJ)
N-A (NY)

Practice Information

Address
56 N HADDON AVE LOWR LEVEL
HADDONFIELD, NJ, 080332438
Browse NJ providers · Browse ZIP 08033
Phone
8562407529
Primary Specialty
Sports Physician (Chiropractor)
111NS0005X
Additional Specialty
Internist (Chiropractor)
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.