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Individual

DR. WILLIAM FISH MARSTELLER III

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
145 S MAIN ST, CENTERVILLE, OH 45458-2370
(937) 433-4800
(937) 433-2618
Mailing address
145 S MAIN ST, CENTERVILLE, OH 45458-2370
(937) 433-4800
(937) 433-2618

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
999
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000010694
ANTHEM BC/BS PIN
OH
05
0660735
OH
01
311072809 1211
ANTHEM ADVANTAGE
OH
01
311072809-00
OHIO BWC
OH
01
9503227001
CIGNA
OH
Enumeration date
08/22/2005
Last updated
07/08/2007
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