Individual
DR. MICHAEL PAUL KIEKLAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
6166 BROADVIEW RD, PARMA, OH 44134-3167
(216) 661-6200
(216) 661-7055
Mailing address
6166 BROADVIEW RD, PARMA, OH 44134-3167
(216) 661-6200
(216) 661-7055
Taxonomy
Speciality
Code
Description
License number
State
111NX0800X
Orthopedic Chiropractor
Primary
2731
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1281458
BWC PROVIDER NO.
OH
05
—
2106705
—
OH
Enumeration date
07/04/2006
Last updated
03/13/2013
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