Individual
DR. ZVONKO IVAN VUKOVIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
4365 LIBERTY AVE, VERMILION, OH 44089-2133
(440) 967-4226
(440) 967-0296
Mailing address
4365 LIBERTY AVE, VERMILION, OH 44089-2133
(440) 967-4226
(440) 967-0296
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3588
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000513505
ANTHEM
OH
01
—
11361263
CAQH
OH
01
—
46-0520580
TAX ID
OH
Enumeration date
02/05/2007
Last updated
01/12/2009
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