Individual
MR. WENNING ZHAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC R ACUPUNCTURIST
Contact information
Practice address
15751 BROADWAY AVE, MAPLE TOWN SHOPPING CENTER, MAPLE HEIGHTS, OH 44137
(216) 581-0321
(216) 332-0386
Mailing address
15751 BROADWAY AVE, MAPLE TOWN SHOPPING CENTER, MAPLE HEIGHTS, OH 44137
(216) 581-0321
(216) 332-0386
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2082
OH
171100000X
Acupuncturist
65000035
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000319116
ANTHEM BLUE CROSS
—
05
—
0975619
—
OH
01
—
61715
QUAL CHOICE
OH
Enumeration date
11/17/2006
Last updated
10/18/2011
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