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Individual

MICHAEL WADE LAWTHER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DC, ATC

Contact information

Practice address
20 ALUMNI ARENA, BUFFALO, NY 14260-5001
(716) 645-5138
Mailing address
1477 WEHRLE DR, BUFFALO, NY 14221-6923
(412) 303-6192

Taxonomy

Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
013970
NY
2255A2300X
Athletic Trainer
Primary

Other

Enumeration date
12/06/2016
Last updated
06/21/2025
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