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Organization

MIDWEST CHIROPRACTIC CENTER LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. PETER J MANZ D.C. (MANAGER)
(614) 847-9667
Entity
Organization

Contact information

Practice address
6104 HUNTLEY RD, COLUMBUS, OH 43229-1004
(614) 847-9667
(614) 847-9688
Mailing address
6104 HUNTLEY RD, COLUMBUS, OH 43229-1004
(614) 847-9667
(614) 847-9688

Taxonomy

Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
1454
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
311274667-00
BWC PROVIDER NUMBER
OH
Enumeration date
05/03/2007
Last updated
05/13/2016
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