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Individual

TAD M. ROEDIGER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
401 SOUTH ST, BUILDING 2A, CHARDON, OH 44024-2805
(440) 285-0756
(440) 285-8625
Mailing address
401 SOUTH ST, BUILDING 2A, CHARDON, OH 44024-2805
(440) 285-0756
(440) 285-8625

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1811
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0868735
OH
Enumeration date
03/24/2006
Last updated
11/06/2007
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