Michael Anthony Villanueva DC

NPI 1083768527 - Chiropractor - 111N00000X

NPI Details
NPI 1083768527
Gender Male
Enumeration Date 01/22/2007
Last Updated 06/19/2008
Entity Type Individual
Active Over 9 years ago
Practice Location
6062 LUTE RD
DEPENDABLE CHIROPRACTIC PC
PORTAGE IN, 46368-5008, US
Phone (219) 763-7000
Fax (219) 763-7770
Business Location
6062 LUTE RD
DEPENDABLE CHIROPRACTIC PC
PORTAGE IN, 46368-5008, US
Phone (219) 763-7000
Fax (219) 763-7770
Toxanomy
Taxonomy Code 111N00000X
License State Illinois
License Number 038010673
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According to our database, Dr. Michael Anthony Villanueva DC NPI is 1083768527, taxonomy code is 111N00000X and license number is 038010673, license state is located at Illinois. Michael Anthony Villanueva DC physically located at 6062 Lute Rd, Portage IN, 46368-5008. NPI Number Michael Anthony Villanueva DC has the Individual type.

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1083768527 NPI number is provided on an as is basis without warranty of any kind. 1083768527 is maintained by the National Plan & Provider Enumeration System. The contents of Michael Anthony Villanueva DC are for informational purposes only.