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Individual

DR. MATT LIBERTY SPIERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DC FAAIM

Contact information

Practice address
12611 ECKEL JUNCTION RD, PERRYSBURG, OH 43551-1304
(419) 873-6326
(419) 873-6327
Mailing address
12611 ECKEL JUNCTION RD, PERRYSBURG, OH 43551-1304
(419) 873-6326
(419) 873-6327

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
2301009459
MI
111N00000X
Chiropractor
Primary
3476
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000492224
ANTHEM
01
1193641
CAQH
05
2470400
OH
05
582785
OH
01
663535
ACN/UNITED
01
7270516
AETNA
01
9436014
CIGNA
01
95-0E80115-0
BCBSM
MI
Enumeration date
11/15/2005
Last updated
11/14/2013
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