Organization
CHIROPRACTIC PHYSICIANS GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MONICA MARTA MIKLO D.C. (PRESIDENT)
(330) 493-9340
Entity
Organization
Contact information
Practice address
4065 FULTON DR NW, CANTON, OH 44718-2817
(330) 493-9340
(330) 493-9681
Mailing address
4065 FULTON DR NW, CANTON, OH 44718-2817
(330) 493-9340
(330) 493-9681
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2865
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2165857
—
OH
Enumeration date
10/30/2007
Last updated
10/30/2007
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