Individual
MR. MARK E RICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C
Contact information
Practice address
23285 STATE ROUTE 51 W, GENOA, OH 43430-1042
(419) 855-7776
(419) 855-3819
Mailing address
29357 SIMMONS RD, PERRYSBURG, OH 43551-3651
(419) 666-5486
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1375
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1417989575
NPI
OH
Enumeration date
07/07/2006
Last updated
01/27/2012
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