# OHIO SPINE & DISC

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

## Provider details

- **NPI number:** 1992029193
- **Authorized official:** DR. MICHAEL TODD WILSON D.C. (OWNER)
- **Authorized official phone:** (614) 367-9355

## Contact information

- **Practice address:** 5949 E MAIN ST, COLUMBUS, OH 43213-3353
- **Practice address phone:** (614) 367-9355
- **Practice address fax:** (614) 501-6481
- **Mailing address:** 5949 E MAIN ST, COLUMBUS, OH 43213-3353
- **Mailing address phone:** (614) 367-9355
- **Mailing address fax:** (614) 501-6481

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111NR0400X | Rehabilitation Chiropractor | 2162 | OH | Yes |

## Other

- **Enumeration date:** 03/17/2010
- **Last updated:** 03/17/2010