Organization
THE REJUVENATION CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW J BAUER D.O. (OWNER)
(317) 577-1990
Entity
Organization
Contact information
Practice address
997 E COUNTY LINE RD, SUITE M, GREENWOOD, IN 46143-1075
(317) 577-1990
(317) 577-1993
Mailing address
997 E COUNTY LINE RD, SUITE M, GREENWOOD, IN 46143-1075
(317) 577-1990
(317) 577-1993
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
04/05/2013
Last updated
01/20/2015
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