Individual
MICHAEL DAVID GRIFFIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1750 MARION RD, BUCYRUS, OH 44820-3117
(419) 562-0757
(419) 562-0364
Mailing address
1750 MARION RD, BUCYRUS, OH 44820-3117
(419) 562-0757
(419) 562-0364
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
536
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000115719
ANTHEM
OH
05
—
0185357
—
OH
Enumeration date
08/31/2006
Last updated
07/09/2007
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