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Individual

MARK ALAN MCWILLIAMS

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
1500 SENECA INDUSTRIAL PKWY W, BELLEVUE, OH 44811-9049
(419) 483-0779
Mailing address
6697 YOUNG RD, BELLEVUE, OH 44811-9790
(419) 483-6919

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1800
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0868324
OH
Enumeration date
05/19/2006
Last updated
07/08/2007
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