# MJJD SPINE GROUP, LTD

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Injury Center at St. Vincent Hospital
- **Organization subpart:** No

## Provider details

- **NPI number:** 1316295884
- **Authorized official:** DR. MARK R GRUBB M.D. (OWNER)
- **Authorized official phone:** (855) 644-6724

## Contact information

- **Practice address:** 2322 E 22ND ST, SUITE 302, CLEVELAND, OH 44115-3176
- **Practice address phone:** (855) 644-6724
- **Mailing address:** 2322 E 22ND ST, SUITE 302, CLEVELAND, OH 44115-3176
- **Mailing address phone:** (855) 644-6724

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111NR0400X | Rehabilitation Chiropractor | 1473 | OH | — |
| 111NR0400X | Rehabilitation Chiropractor | 2901 | OH | — |
| 111NR0400X | Rehabilitation Chiropractor | 3343 | OH | Yes |

## Other

- **Enumeration date:** 08/15/2012
- **Last updated:** 02/26/2013