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Organization

NEW LIFE SPINE CENTER LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. THOMAS MATTHEW BAUR D.C. (CHIROPRACTOR)
(419) 724-5433
Entity
Organization

Contact information

Practice address
1331 CONANT STREET #104, MAUMEE, OH 43537
(419) 724-5433
(419) 720-6994
Mailing address
1331 CONANT STREET #104, MAUMEE, OH 43537
(419) 724-5433
(419) 720-6994

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3371
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2483227
OH
01
9360541
MEDICARE GROUP NUMBER
OH
Enumeration date
08/27/2007
Last updated
03/07/2013
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