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Organization

LIFESOURCE HEALTH CENTER LLC

Active
Other names
LIFESOURCE HEALTH CENTER
Organization subpart
No

Provider details

NPI number
Authorized official
TIMOTHY LOUIS VIERHELLER DC (PARTNER)
(419) 961-5110
Entity
Organization

Contact information

Practice address
4483 WEYMOUTH RD, MEDINA, OH 44256-8601
(330) 764-3434
(330) 725-8746
Mailing address
4483 WEYMOUTH RD, MEDINA, OH 44256-8601
(330) 764-3434
(330) 725-8746

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary

Other

Enumeration date
05/04/2021
Last updated
05/04/2021
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