Organization
GARDNER CHIROPRACTIC OFFICE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL J GARDNER D.C. (CEO)
(419) 448-0671
Entity
Organization
Contact information
Practice address
14 W MARKET ST, TIFFIN, OH 44883-2720
(419) 448-0671
(419) 448-0675
Mailing address
14 W MARKET ST, P.O. BOX 30, TIFFIN, OH 44883-2720
(419) 448-0671
(419) 448-0675
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
525
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0199548
—
OH
Enumeration date
06/18/2007
Last updated
08/22/2020
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