Mungovan Chiropractic PC
NPI #1154533354 in Fort Wayne, Indiana
Provider Information
- NPI Number
- 1154533354
- Entity Type
- Organization
- Organization Name
- Mungovan Chiropractic PC
- Primary Specialty
- Chiropractor
- Enumeration Date
- May 3, 2007
- Last Updated
- Apr 9, 2013
Practice Location
- Address
- 4705 ILLINOIS RD STE 102
- City
- Fort Wayne
- State
- Indiana
- ZIP Code
- 46804-5108
- Phone
- (260) 447-1067
Authorized Official
- Name
- DR. MICHAEL THOMAS MUNGOVAN, DC
- Title
- OWNER
- Phone
- (260) 447-1067
Specialties & Taxonomy Codes
| Specialty |
|---|
| Chiropractor |
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