Organization
WELLSPRINGS CHIROPRACTIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH JOHN FISH D.C. (CLINIC DIRECTOR)
(301) 519-1881
Entity
Organization
Contact information
Practice address
937 RUSSELL AVE STE B, GAITHERSBURG, MD 20879-3280
(301) 519-1881
(301) 519-1131
Mailing address
937 RUSSELL AVE STE B, GAITHERSBURG, MD 20879-3280
(301) 519-1881
(301) 519-1131
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
01987
MD
Other
Enumeration date
08/07/2007
Last updated
06/09/2008
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