Individual
ANDREW INGRAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
5019 VICTOR DR, MEDINA, OH 44256-9682
(330) 722-7709
(330) 723-0850
Mailing address
5019 VICTOR DR, MEDINA, OH 44256-9682
(330) 722-7709
(330) 723-0850
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC-04865
OH
Other
Enumeration date
08/13/2019
Last updated
08/13/2019
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