MEDICARE: DR. MICHAEL PATRICK DUPLAIN DC

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	DC-05322	OH

General Provider Information

NPI Number	:	1508635210
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MICHAEL PATRICK DUPLAIN DC

Provider Business Mailing Address
First Line	:	145 S MAIN ST
Second Line	:
City	:	CENTERVILLE
State	:	OH
Zip	:	45458-2370
Country	:	US
Telephone Number	:	937-503-2073
Fax Number	:

Provider Business Practice Location Address
First Line	:	145 S MAIN ST
Second Line	:
City	:	CENTERVILLE
State	:	OH
Zip	:	45458-2370
Country	:	US
Telephone Number	:	937-503-2073
Fax Number	:

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

Provider Enumeration Date	:	12/21/2023
Last Update Date	:	01/05/2024

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