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Organization

TRINITY CHIROPRACTIC CENTER, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MICHAEL TODD WILSON DC (PHYSICIAN)
(614) 367-9355
Entity
Organization

Contact information

Practice address
5949 E MAIN ST, COLUMBUS, OH 43213-3353
(614) 367-9355
(614) 501-6481
Mailing address
5949 E MAIN ST, COLUMBUS, OH 43213-3353
(614) 367-9355
(614) 501-6481

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2162
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000552153
ANTHEM PIN NUMBER
OH
Enumeration date
04/14/2008
Last updated
04/14/2008
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