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Individual

DR. GARY T. BERNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
5850 BOYMEL DR, UNIT #2, FAIRFIELD, OH 45014-8529
(513) 870-9559
(513) 870-9593
Mailing address
5850 BOYMEL DR, UNIT #2, FAIRFIELD, OH 45014-8529
(513) 870-9559
(513) 870-9593

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1348
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0898891
OH
01
311358253-00
GRP OHIO BWC NUMBER
OH
Enumeration date
01/11/2006
Last updated
03/13/2008
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