Individual
DR. GREGORY PAUL PALKOWSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
1654 MARDON DR, BEAVERCREEK, OH 45432-1949
(937) 426-9265
Mailing address
1611 TURFLAND BLVD S, XENIA, OH 45385-7029
(937) 426-9383
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
905
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000010187
ANTHEM
OH
Enumeration date
09/06/2006
Last updated
04/28/2021
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