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Organization
MW SPINAL CARE
Active
Organization
MW SPINAL CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL WASILISIN D.C. (OWNER)
(330) 501-4489
Entity
Organization
Contact information
Practice address
345 S COAST HIGHWAY 101, SUITE L, ENCINITAS, CA 92024-3551
(330) 501-4489
Mailing address
1500 SHADOWRIDGE DR, APT. 145, VISTA, CA 92081-9041
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
31327
CA
Other
Enumeration date
05/10/2013
Last updated
05/10/2013
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