Individual
DR. MICHAEL PAUL GRODZIELANEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
69 S BLACK HORSE PIKE, BLACKWOOD, NJ 08012-2952
(856) 401-0102
(856) 374-2345
Mailing address
69 S BLACK HORSE PIKE, BLACKWOOD, NJ 08012-2952
(856) 401-0102
(856) 374-2345
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
38MC00587200
NJ
Other
Enumeration date
06/14/2006
Last updated
11/07/2012
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