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General NPI Number Information
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NPI Number | 1356486187
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Entity Type | Organization
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Legal Business Name | SANDUSKY WELLNESS CENTER INC
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Dates
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Enumeration Date | 02/20/2007
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Last Update Date | 09/01/2020
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Provider Practice Location Address
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Address Line | 3703 COLUMBUS AVE
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City | SANDUSKY
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State | OH
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Zip | 44870-5719
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Country | US
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Telephone | 419-625-8085
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Fax | 419-625-6004
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Provider Business Mailing Address
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Address Line | 3703 COLUMBUS AVE
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City | SANDUSKY
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State | OH
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Zip | 44870-5719
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Country | US
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Telephone | 419-625-8085
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Fax | 419-625-6004
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. GREGG DAVID WINNESTAFFER
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Credential | D.C.
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Telephone | 419-625-8085
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 3111
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License Number State | OH
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