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Individual

DR. WILLIAM KONRAD NEIDERT JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
1515 PORTAGE ST NW, SUITE C, NORTH CANTON, OH 44720-2290
(330) 499-1518
(330) 499-7385
Mailing address
11568 HOOVER AVE NW, UNIONTOWN, OH 44685-7385
(330) 877-3645

Taxonomy

Speciality
Code
Description
License number
State
111NN1001X
Nutrition Chiropractor
Primary
1033
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0549366
OH
Enumeration date
10/04/2006
Last updated
07/08/2007
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