MEDICARE: DR. GREGORY AURTHER WOESTE D.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	1470	OH

General Provider Information

NPI Number	:	1437141397
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. GREGORY AURTHER WOESTE D.C.

Provider Business Mailing Address
First Line	:	7712 HAMILTON AVE
Second Line	:
City	:	MOUNT HEALTHY
State	:	OH
Zip	:	45231-3104
Country	:	US
Telephone Number	:	513-522-2220
Fax Number	:	513-672-2270

Provider Business Practice Location Address
First Line	:	7712 HAMILTON AVE
Second Line	:
City	:	MOUNT HEALTHY
State	:	OH
Zip	:	45231-3104
Country	:	US
Telephone Number	:	513-522-2220
Fax Number	:	513-672-2270

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/17/2005
Last Update Date	:	12/06/2011

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