# GLASS CITY SPINE

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Glass City Spine and Rehab
- **Organization subpart:** No

## Provider details

- **NPI number:** 1417631714
- **Authorized official:** MS. MICHELL L BUSCH (OWNER)
- **Authorized official phone:** (419) 472-2610

## Contact information

- **Practice address:** 4333 MONROE STREET, SUITE D/E, TOLEDO, OH 43606
- **Practice address phone:** (419) 472-2610
- **Practice address fax:** (419) 472-2611
- **Mailing address:** 4333 MONROE STREET, SUITE D/E, TOLEDO, OH 43606
- **Mailing address phone:** (419) 472-2610

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | — | — | Yes |

## Other

- **Enumeration date:** 06/15/2023
- **Last updated:** 06/19/2023