Individual
DR. GARY MICHAEL ESTADT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
9031 MENTOR AVE, MENTOR, OH 44060-6463
(440) 255-1315
(440) 255-5832
Mailing address
9031 MENTOR AVE, MENTOR, OH 44060-6463
(440) 255-1315
(440) 255-5832
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
835
OH
Other
Enumeration date
01/29/2007
Last updated
07/08/2007
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