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Organization
MICHAEL G RIDGEWAY DC INC
Active
Organization
MICHAEL G RIDGEWAY DC INC
Active
Other names
Michael G Ridgeway DC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL G RIDGEWAY DC (OWNER PRESIDENT)
(707) 544-2400
Entity
Organization
Contact information
Practice address
777 FARMERS LANE, SANTA ROSA, CA 95405
(707) 544-2400
(707) 544-5203
Mailing address
777 FARMERS LANE, SANTA ROSA, CA 95405
(707) 544-2400
(707) 544-5203
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
15617
CA
Other
Enumeration date
07/18/2006
Last updated
08/22/2020
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