# NEURO SPINE & WELLNESS CENTER

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1477153609
- **Authorized official:** HEATHER GORE (COO)
- **Authorized official phone:** (614) 468-0300

## Contact information

- **Practice address:** 445 ALLENBY DR, MARYSVILLE, OH 43040-8722
- **Practice address phone:** (614) 468-0300
- **Practice address fax:** (833) 392-1202
- **Mailing address:** 445 ALLENBY DR, MARYSVILLE, OH 43040-8722

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 204D00000X | Neuromusculoskeletal Medicine & OMM Physician | — | — | Yes |

## Other

- **Enumeration date:** 10/27/2020
- **Last updated:** 10/27/2020