NPI 1386245785

Mitchell Wade, DC

Practitioner Chiropractor Canal Winchester, OH

Practice location

Address: 6790 Thrush Dr, Canal Winchester, OH 43110-8385
Phone: (614) 833-0563
Fax: (614) 833-0916

Registered specialties

Chiropractor Primary

Chiropractic Providers Taxonomy 111N00000X Licence DC-05007 (OH)

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Registry record

NPI: 1386245785
Entity type: Individual
Sex (as registered): Male
NPI issued: 3 Nov 2020
Record last updated: 3 Nov 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.