Organization
DUBLIN ACTIVE SPINE & REHAB LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL GUSTAFSON DC (OWNER)
(614) 766-2424
Entity
Organization
Contact information
Practice address
6075 GLICK RD, POWELL, OH 43065-8390
(614) 766-2424
(740) 522-6308
Mailing address
6075 GLICK RD, POWELL, OH 43065-8390
(614) 766-2424
(740) 522-6308
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
07/16/2019
Last updated
07/31/2019
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