# CHIROPRACTIC PHYSICIANS GROUP, INC.

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

## Provider details

- **NPI number:** 1659550382
- **Authorized official:** DR. MONICA MARTA MIKLO D.C. (PRESIDENT)
- **Authorized official phone:** (330) 493-9340

## Contact information

- **Practice address:** 4065 FULTON DR NW, CANTON, OH 44718-2817
- **Practice address phone:** (330) 493-9340
- **Practice address fax:** (330) 493-9681
- **Mailing address:** 4065 FULTON DR NW, CANTON, OH 44718-2817
- **Mailing address phone:** (330) 493-9340
- **Mailing address fax:** (330) 493-9681

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | 2865 | OH | Yes |

## Other

- **Enumeration date:** 10/30/2007
- **Last updated:** 10/30/2007

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 2165857 | — | OH |