Individual
DR. RUSSELL DAVID MIKLOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
4550 LIBERTY AVE, SUITE 100, VERMILION, OH 44089-1910
(440) 967-5545
(440) 967-5546
Mailing address
PO BOX 413, VERMILION, OH 44089-0413
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3273
OH
Other
Enumeration date
09/20/2006
Last updated
01/24/2011
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