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Individual

MICHAEL R. IZQUIERDO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
14524 DETROIT AVE, LAKEWOOD, OH 44107-4317
(216) 521-7777
(216) 521-7778
Mailing address
14524 DETROIT AVE, LAKEWOOD, OH 44107-4317
(216) 521-7777
(216) 521-7778

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3664
OH

Other

Enumeration date
10/11/2006
Last updated
10/24/2007
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