Organization
WEST BROAD SPINE & REHAB LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL BUCZYNSKI (OWNER)
(614) 275-3031
Entity
Organization
Contact information
Practice address
2977 W BROAD ST, COLUMBUS, OH 43204-2650
(614) 275-3031
Mailing address
2977 W BROAD ST, COLUMBUS, OH 43204-2650
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
05/13/2014
Last updated
05/13/2014
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