MUNGOVAN CHIROPRACTIC PC

FORT WAYNE, IN
NPI1154533354
Entity TypeOrganization
Authorized ContactMICHAEL THOMAS MUNGOVAN
Owner
260-447-1067
Organization Subpart ?No
Primary Taxonomy111N00000X Chiropractor
(Licence: IN  08001044)
Enumeration Date2007-05-03
Last Update Date2013-04-09
Business Address
MUNGOVAN CHIROPRACTIC PC
4705 ILLINOIS RD STE 102
FORT WAYNE, IN 46804-5108
Phone number: 260-447-1067
Mailing Address
MUNGOVAN CHIROPRACTIC PC
4705 ILLINOIS RD STE 102
FORT WAYNE, IN 46804-5108
Phone number: 260-447-1067
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