Organization
MARK J STUBBENDIECK DC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK STUBBENDIECK DC (OWNER)
(330) 725-4060
Entity
Organization
Contact information
Practice address
257 S COURT ST, STE 5A, MEDINA, OH 44256-2295
(330) 725-4060
Mailing address
257 S COURT ST, STE 5A, MEDINA, OH 44256-2295
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1935
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2657665
—
OH
Enumeration date
03/29/2012
Last updated
04/19/2012
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