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Individual

DR. ROBERT D. BERRY

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
2863 COUNTY ROAD 529, LOUDONVILLE, OH 44842-9202
(419) 994-5551
(419) 994-5552
Mailing address
2863 COUNTY ROAD 529, LOUDONVILLE, OH 44842-9202
(419) 994-5551
(419) 994-5552

Taxonomy

Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
931
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0495245
OH
01
341821965-00
OHIO BWC #
OH
Enumeration date
06/24/2005
Last updated
07/08/2007
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