Individual
DR. MATTHEW RUSSELL WARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
6966 HEISLEY RD, SUITE F, MENTOR, OH 44060-4593
(440) 974-8557
(440) 255-6337
Mailing address
PO BOX 485, MENTOR, OH 44061-0485
(440) 974-8557
(440) 255-6337
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2782
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2131526
—
OH
Enumeration date
06/23/2006
Last updated
07/08/2007
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