Organization
MJJD SPINE GROUP, LTD
Active
Other names
Injury Center at St. Vincent Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK R GRUBB M.D. (OWNER)
(855) 644-6724
Entity
Organization
Contact information
Practice address
2322 E 22ND ST, SUITE 302, CLEVELAND, OH 44115-3176
(855) 644-6724
Mailing address
2322 E 22ND ST, SUITE 302, CLEVELAND, OH 44115-3176
(855) 644-6724
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
1473
OH
111NR0400X
Rehabilitation Chiropractor
2901
OH
111NR0400X
Rehabilitation Chiropractor
Primary
3343
OH
Other
Enumeration date
08/15/2012
Last updated
02/26/2013
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