Great Lakes Sports & Spine LLC
NPI #1710768494 in Willoughby, Ohio
Provider Information
- NPI Number
- 1710768494
- Entity Type
- Organization
- Organization Name
- Great Lakes Sports & Spine LLC
- Primary Specialty
- Chiropractor
- Enumeration Date
- Oct 10, 2023
- Last Updated
- Oct 10, 2023
Practice Location
- Address
- 34940 RIDGE RD STE B
- City
- Willoughby
- State
- Ohio
- ZIP Code
- 44094-4197
- Phone
- (440) 527-8030
Authorized Official
- Name
- DR. MATTHEW PAUL MARTIN, DC
- Title
- OWNER/CHIROPRACTIC PHYSICIAN
- Phone
- (440) 503-6683
Specialties & Taxonomy Codes
| Specialty |
|---|
| Chiropractor |
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