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Organization
MARVEL CHIROPRACTIC AND WELLNESS CENTER LLC
Active
Organization
MARVEL CHIROPRACTIC AND WELLNESS CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHELLE D. MARVEL D.C. (MANAGER)
(618) 983-8100
Entity
Organization
Contact information
Practice address
417 E BROADWAY BLVD, JOHNSTON CITY, IL 62951-1608
(618) 983-8100
(618) 983-8110
Mailing address
417 E BROADWAY BLVD, JOHNSTON CITY, IL 62951-1608
(618) 983-8100
(618) 983-8110
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038.011177
IL
Other
Enumeration date
09/17/2008
Last updated
01/06/2009
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