| NPI | 1780602672 |
|---|---|
| Former Legal Business Name | MICHAEL G RIDGEWAY DC |
| Entity Type | Organization |
| Authorized Contact | MICHAEL G RIDGEWAY Owner President 707-544-2400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: CA 15617) |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2020-08-22 |