Individual
GLENN M WINNESTAFFER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC, DIBCN
Contact information
Practice address
358 S HAMILTON RD, SUITE B, GAHANNA, OH 43230-3311
(614) 471-5442
(614) 471-5462
Mailing address
358 S HAMILTON RD, SUITE B, GAHANNA, OH 43230-3311
(614) 471-5442
(614) 471-5462
Taxonomy
Speciality
Code
Description
License number
State
111NN0400X
Neurology Chiropractor
Primary
2080
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0957460
—
OH
Enumeration date
08/22/2005
Last updated
10/03/2011
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