Individual
JUDITH KRAMER GENTNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
13708 MADISON AVE, LAKEWOOD, OH 44107-4711
(216) 221-2008
(216) 221-6446
Mailing address
13708 MADISON AVE, LAKEWOOD, OH 44107-4711
(216) 221-2008
(216) 221-6446
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1884
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
34-1780993
TAX ID
OH
Enumeration date
02/07/2007
Last updated
09/21/2012
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