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Organization
MJJD SPINE GROUP, LTD
Active
Organization
MJJD SPINE GROUP, LTD
Active
Other names
Injury Center at St. Vincent Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK R GRUBB M.D. (OWNER)
(855) 644-6724
Entity
Organization
Contact information
Practice address
2322 E 22ND ST, SUITE 302, CLEVELAND, OH 44115-3176
(855) 644-6724
Mailing address
2322 E 22ND ST, SUITE 302, CLEVELAND, OH 44115-3176
(855) 644-6724
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
1473
OH
111NR0400X
Rehabilitation Chiropractor
2901
OH
111NR0400X
Rehabilitation Chiropractor
Primary
3343
OH
Other
Enumeration date
08/15/2012
Last updated
02/26/2013
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